Provider Demographics
NPI:1174906945
Name:TADROS, TADROS MICHEL (BDS, DDS, CAGS)
Entity type:Individual
Prefix:DR
First Name:TADROS
Middle Name:MICHEL
Last Name:TADROS
Suffix:
Gender:M
Credentials:BDS, DDS, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4651
Mailing Address - Country:US
Mailing Address - Phone:603-882-5455
Mailing Address - Fax:603-886-7999
Practice Address - Street 1:182 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051
Practice Address - Country:US
Practice Address - Phone:603-882-5455
Practice Address - Fax:603-886-7999
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18569461223E0200X
NH044441223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics