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DR. PETROS D. DAMOULIS D.M.D.
NPI 1053459123
Dentist - Periodontics in Boston, MA

Active since February 02, 2007
1 KNEELAND ST, TUFTS DENTAL ASSOCIATES, DHS-8, BOSTON, MA 02111(617) 636-6678 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Petros D. Damoulis D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETROS D. DAMOULIS D.M.D. (NPI 1053459123) is an individual periodontics provider in Boston, Massachusetts, licensed in Massachusetts (21447) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1053459123
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PETROS D. DAMOULISCredential: D.M.D.
Location Address1 KNEELAND ST, TUFTS DENTAL ASSOCIATES, DHS-8Boston, MA 02111-1527
Mailing Address95 Centre St, Apt. 1Brookline, MA 02446-2801 · (617) 713-0709 · Fax (617) 636-3401
Phone(617) 636-6678
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053459123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 21447
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1 KNEELAND ST, Boston, MA 02111
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petros Damoulis's NPI number?

The NPI number for Petros Damoulis is 1053459123. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Petros Damoulis located?

Petros Damoulis practices at 1 Kneeland St Tufts Dental Associates, Dhs-8, Boston, MA 02111. The listed phone number is (617) 636-6678.

What is Petros Damoulis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Petros Damoulis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.