Individual
DR. STAVROS PAPAERACLEOUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6304 KENWOOD AVE, STE 5, BALTIMORE, MD 21237
(410) 866-6660
(410) 866-1557
Mailing address
6304 KENWOOD AVE, STE 5, BALTIMORE, MD 21237
(410) 866-6660
(410) 866-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8530
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103021
CIGNA HMO
MD
01
—
19584
AETNA HMO
MD
01
—
4976
CAREFIRST BC BS
MD
01
—
588871
UNITED CONCORDIA
MD
Enumeration date
06/03/2006
Last updated
07/08/2007
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