Dr Peter J Theodorou, DMD, MS - Dentist in Grapevine, TX

Dr Peter J Theodorou, DMD, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Grapevine, Texas. Dr Peter J Theodorou is licensed to practice in Texas (license number 37106) and his current practice location is 2800 William D Tate Ave Ste 100, Grapevine, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 562-2222.

NPI number for Dr Peter J Theodorou is 1598899049 and his current mailing address is 2800 William D Tate Ave Ste 100, Grapevine, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598899049.

Contact Information

Dr Peter J Theodorou, DMD, MS
2800 William D Tate Ave Ste 100,
Grapevine, TX 76051-4325
(817) 562-2222
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Peter J Theodorou
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location2800 William D Tate Ave Ste 100, Grapevine, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598899049
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 11/12/2021

Medical Identifiers

Medical identifiers for Dr Peter J Theodorou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598899049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 050920 (New York)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 103444 (California)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 37106 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter J Theodorou is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter J Theodorou, DMD, MS
2800 William D Tate Ave Ste 100,
Grapevine, TX 76051-4325

Ph: (817) 562-2222
Dr Peter J Theodorou, DMD, MS
2800 William D Tate Ave Ste 100,
Grapevine, TX 76051-4325

Ph: (817) 562-2222

Reviews and Comments


Dentist in Grapevine, TX

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