Nicholas Peter Theberge, DDS Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Greenfield, MA

NPI

1346580974

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

DN1857508 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2013-02-19

Last updated

2025-06-10