Provider Demographics
NPI:1386101863
Name:T D FILANDRIANOS AND ASSOCIATES LLC
Entity type:Organization
Organization Name:T D FILANDRIANOS AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:DEMETRIUS
Authorized Official - Last Name:FILANDRIANOS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-244-4871
Mailing Address - Street 1:1400 CENTRE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2415
Mailing Address - Country:US
Mailing Address - Phone:617-244-4871
Mailing Address - Fax:
Practice Address - Street 1:1400 CENTRE ST STE 101
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2415
Practice Address - Country:US
Practice Address - Phone:617-244-4871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental