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Contact Information

THEODOROS ANEZIRIS, D.D.S., M.S.D.
8679 CONNECTICUT ST
SUITE C
MERRILLVILLE, IN46410-6386
 Phone: 219-769-1166
 Fax: 219-769-4030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for THEODOROS ANEZIRIS · (Male)

NPI # 1740441609
Status Active
Credentials D.D.S., M.S.D.
Entity Individual
Enumeration date 06/23/2008
Last updated 06/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010536A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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