Provider Demographics
NPI:1538166939
Name:VARELDZIS, DIMITRIOS J (DDS)
Entity type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:J
Last Name:VARELDZIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CENTER PARK DR STE 900
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2176
Mailing Address - Country:US
Mailing Address - Phone:865-966-0500
Mailing Address - Fax:
Practice Address - Street 1:215 CENTER PARK DR STE 900
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2176
Practice Address - Country:US
Practice Address - Phone:865-966-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000011708261QD0000X
ORD64711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental