| Theoharidis & Meier Pc | |
|
241 Station Ave South Yarmouth MA 02664-1863 | |
| (508) 398-6055 | |
| (508) 398-7228 |
| Full Name | Theoharidis & Meier Pc |
|---|---|
| Speciality | Dentist |
| Location | 241 Station Ave, South Yarmouth, Massachusetts |
| Authorized Official Name and Position | Peter Theoharidis (OWNER) |
| Authorized Official Contact | 5083986055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theoharidis & Meier Pc 241 Station Ave South Yarmouth MA 02664-1863 Ph: (508) 398-6055 | Theoharidis & Meier Pc 241 Station Ave South Yarmouth MA 02664-1863 Ph: (508) 398-6055 |
| NPI Number | 1518089184 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 8729151154 |
|---|---|
| Medicare Enrollment ID | O20080718000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518089184 | NPI | - | NPPES |
| X10692 | Other | MA | BLUECROSSBLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17344 (Massachusetts) | Primary |
| Provider Name | Peter Theoharidis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831176494 PECOS PAC ID: 3173611100 Enrollment ID: I20071108000516 |
| Provider Name | Paul F Fitzgerald |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851378442 PECOS PAC ID: 6103991922 Enrollment ID: I20080813000546 |
| Provider Name | Brandon J Meier |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326214248 PECOS PAC ID: 0345405502 Enrollment ID: I20120713000349 |
| Provider Name | Jonathan Leslie Czerepak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861740722 PECOS PAC ID: 6709295520 Enrollment ID: I20210507001383 |
Leonard G. Carlson, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Station Ave, South Yarmouth, MA 02664 Phone: 508-398-6939 | |
Andrew P Kissell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1292 Route 28, South Yarmouth, MA 02664 Phone: 508-394-2066 | |
Beacon Dental Health Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Station Ave, South Yarmouth, MA 02664 Phone: 617-418-6940 | |
Beacon Dental Health Ma Ii Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Station Ave, South Yarmouth, MA 02664 Phone: 508-374-9671 Fax: 631-396-0452 | |
S.m. Mcgrail Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1258 Route 28, South Yarmouth, MA 02664 Phone: 508-394-1133 Fax: 508-394-1329 | |
Jefferson S Dexter Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Old Main St, South Yarmouth, MA 02664 Phone: 508-398-3322 Fax: 508-398-1679 |