Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theodora Kalonaros Dietrich, DDS

Individual provider Dentist · NPI 1144435090

Dr. Theodora Kalonaros Dietrich, DDS is a Dentist in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

17178 Toledo Blade Blvd
Port Charlotte, FL 33954-2626
Phone: (941) 625-7877
Fax: (941) 625-4349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10474 (FL)

Record details

NPI number1144435090
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 8, 2007

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