1. Home
  2. Directory
  3. Florida
  4. Port Charlotte
  5. Dentist
  6. NPI Profile

DR. THEODORA KALONAROS DIETRICH D.D.S.
NPI 1144435090
Dentist in Port Charlotte, FL

Active since May 14, 2007
17178 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954(941) 625-7877(941) 625-4349 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodora Kalonaros Dietrich D.d.s. NPPES

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

DR. THEODORA KALONAROS DIETRICH D.D.S. (NPI 1144435090) is an individual dentist in Port Charlotte, Florida, licensed in Florida (DN10474) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1144435090
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. THEODORA KALONAROS DIETRICHCredential: D.D.S.
Location Address17178 TOLEDO BLADE BLVDPort Charlotte, FL 33954-2626
Mailing Address17178 Toledo Blade BlvdPort Charlotte, FL 33954-2626 · (941) 625-7877 · Fax (941) 625-4349
Phone(941) 625-7877
Fax(941) 625-4349
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144435090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN10474
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17178 TOLEDO BLADE BLVD, Port Charlotte, FL 33954
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Other Providers at the Same Location NPPES 6

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

DIETRICH DENTAL SERVICES PA
Dentist
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
RACHEL ANNE COURSON
Dentist
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DREAM TEAM DENTISTRY & ASSOCIATES, PLLC
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DR. JOHN LOUIS DIETRICH D.D.S.
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877
DR. SEAN R BATES DDS
Dentist (General Practice)
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954
Charlotte County (941) 625-7877

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 Theodora Dietrich's NPI number?

The NPI number for Theodora Dietrich is 1144435090. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Theodora Dietrich located?

Theodora Dietrich practices at 17178 Toledo Blade Blvd, Port Charlotte, FL 33954. The listed phone number is (941) 625-7877.

What is Theodora Dietrich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Theodora Dietrich accept?

Health plans from Guardian list Theodora Dietrich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodora Dietrich 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.