Steven C Demetriou
Pediatric Dentist
1147 Main St Ste 204
Tewksbury
, Massachusetts 01876-2012
Steven C Demetriou
Pediatric Dentist
1147 Main St Ste 204
Tewksbury
, Massachusetts 01876-2012
(978) 851-5080
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Steven C Demetriou
- 1147 Main St Ste 204
- Tewksbury, MA
- Zip : 01876-2012
- Fax : (978) 851-5080
- Phone : (978) 891-6334
Second Address
- Steven C Demetriou
- 1147 Main St Ste 204
- Tewksbury, MA
- Zip : 01876-2012
- Fax : (978) 851-5080
- Phone : (978) 891-6334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 15185 | MA |
National Provider Identifier
| NPI | 1053328021 |
|---|---|
| Provider Name | Steven C Demetriou |
| First Address | Tewksbury, MA 01876-2012 |
| Second Address | Tewksbury, MA 01876-2012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0265314 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.