Healthcare Provider Details

I. General information

NPI: 1154445567
Provider Name (Legal Business Name): NICHOLAS THEODORE PAPAPETROS II D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 WALL ST
CONCORD NH
03301-3742
US

IV. Provider business mailing address

13 WALL ST
CONCORD NH
03301-3742
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-2042
  • Fax:
Mailing address:
  • Phone: 603-225-2042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number03879
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: