Individual provider · Type 1 NPI

Peter Gus Diacoloukas, DDS

General Practice Dentistry · Rosedale, MD

NPI number 1619096435 Active

Practice location

8510 Philadelphia Rd, Suite A
Rosedale, MD 21237-3015

Call (410) 574-2800 Map

Fax (410) 238-0026

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13383 (MD)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1619096435

Peter Gus Diacoloukas, DDS's National Provider Identifier is 1619096435, issued on Mar 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rosedale, MD. The record was last updated on Jul 8, 2007.