Healthcare Provider Details

I. General information

NPI: 1679328769
Provider Name (Legal Business Name): EFSTRATIA CONSTANTINA RIGOPOULOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CEDAR ST
WOBURN MA
01801-7246
US

IV. Provider business mailing address

6 OLDE TAVERN RD
LEOMINSTER MA
01453-2067
US

V. Phone/Fax

Practice location:
  • Phone: 781-937-3050
  • Fax:
Mailing address:
  • Phone: 978-870-0037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10001348
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: