NPI 1982616074

Louis Vincent Theodos, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Danbury, CT

Practice location

Address: 52 Federal Rd STE 2a, Danbury, CT 06810-6162
Phone: (203) 790-6288

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 007113 (CT)

Other Oral & Maxillofacial Surgery providers in Connecticut →

Registry record

NPI: 1982616074
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2006
Record last updated: 3 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.