Provider Demographics
NPI:1871761635
Name:NICHOLAS H. PAPPAS, D.D.S., P.C.
Entity type:Organization
Organization Name:NICHOLAS H. PAPPAS, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FOTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PANAGAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-957-6300
Mailing Address - Street 1:1448 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3420
Mailing Address - Country:US
Mailing Address - Phone:978-957-6300
Mailing Address - Fax:978-957-0093
Practice Address - Street 1:1448 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3420
Practice Address - Country:US
Practice Address - Phone:978-957-6300
Practice Address - Fax:978-957-0093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA140261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty