Individual
NICHOLAS PETER THEBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
285 HIGH ST, GREENFIELD, MA 01301-2608
(413) 774-2961
(413) 773-3076
Mailing address
44 WHITE BIRCH DR, CHESTERFIELD, NH 03443-3622
(603) 903-3058
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN1857508
MA
Other
Enumeration date
02/19/2013
Last updated
06/10/2025
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