THEODROU PROFESSIONAL DENTAL GROUP
NPI 1225152952
Dentist in Canoga Park, CA

Active since March 19, 2007
19717 SHERMAN WAY, CANOGA PARK, CA 91306(818) 709-0090(818) 709-6002 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2020, Mar 9, 2020, Feb 14, 2020 (3 updates tracked since 2020).

About Theodrou Professional Dental Group NPPES

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

THEODROU PROFESSIONAL DENTAL GROUP (NPI 1225152952) is a healthcare organization registered as a dentist in Canoga Park, California and active in the NPI registry since March 2007. The organization lists Nikolaos Theodorou, Dentist President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1225152952
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTHEODOROU PROFESSIONAL DENTAL CORP.
Location Address19717 SHERMAN WAYCanoga Park, CA 91306
Mailing Address19717 Sherman WayCanoga Park, CA 91306 · (818) 709-0090 · Fax (818) 709-6002
Fax(818) 709-6002
Organization SubpartNo
Authorized OfficialNikolaos TheodorouDentist President Of Corporation · (818) 709-0090
Enumeration DateMarch 19, 2007
Last NPPES UpdateMarch 17, 20203 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
NPI 1225152952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
19717 SHERMAN WAY, Canoga Park, CA 91306

Other Names 1

Other NameTheodrou Professional Dental Group

Other Identifiers 1

OtherG9133901CA · Dentical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
19717 SHERMAN WAY
CANOGA PARK, CA 91306
Dentist (General Practice)
19717 SHERMAN WAY
CANOGA PARK, CA 91306

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 Theodorou Professional Dental Corp.'s NPI number?

The NPI number for Theodorou Professional Dental Corp. is 1225152952. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as Theodrou Professional Dental Group.

Where is Theodorou Professional Dental Corp. located?

Theodorou Professional Dental Corp. is located at 19717 Sherman Way, Canoga Park, CA 91306. The listed phone number is (818) 709-0090.

What is Theodorou Professional Dental Corp.'s specialty?

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

What insurance does Theodorou Professional Dental Corp. accept?

Health plans from UnitedHealthcare list Theodorou Professional Dental Corp. 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 Theodorou Professional Dental Corp. was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.