| Organization Name: | PETER A. ELIOPOULOS, D.M.D., P.C. |
| NPI Number: | 1043491996 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER ANGELO ELIOPOULOS (PRESIDENT) |
| Mailing Address: | 9 North Rd Suite 102 Chelmsford |
| State: | MA US |
| Postal Code: | 018242755 |
| Phone Number: | 9782569838 |
| Fax Number: | 9782564433 |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 16609 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |