SAMER ATALLAH JOUDEH III DMD PA
NPI 1730197641
Dentist - Oral and Maxillofacial Surgery in Easley, SC

Active since August 04, 2006PECOS Enrolled
109 FLEETWOOD DR, STE D, EASLEY, SC 29640(864) 855-0383(864) 855-0390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samer Atallah Joudeh Iii Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMER ATALLAH JOUDEH III DMD PA (NPI 1730197641) is an individual oral and maxillofacial surgery provider in Easley, South Carolina, licensed in South Carolina (3466) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730197641
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSAMER ATALLAH JOUDEH IIICredential: DMD PA
Location Address109 FLEETWOOD DR, STE DEasley, SC 29640
Mailing Address109 Fleetwood Dr, Ste DEasley, SC 29640 · (864) 855-0383 · Fax (864) 855-0390
Fax(864) 855-0390
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730197641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in SC · 3466
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
109 FLEETWOOD DR, Easley, SC 29640

Other Identifiers 2

Medicare UPIN12739
MedicaidZG1698SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samer Atallah Joudeh Iii Dmd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
109 FLEETWOOD DR, SUITE D
EASLEY, SC 29640
Physical Therapist
109 FLEETWOOD DR, STE E
EASLEY, SC 29640
Clinic/Center (Urgent Care)
109 FLEETWOOD DR, SUITE E
EASLEY, SC 29640
Internal Medicine (Pulmonary Disease)
109 FLEETWOOD DR, SUITE C
EASLEY, SC 29640
Durable Medical Equipment & Medical Supplies
109 FLEETWOOD DR, SUITE B
EASLEY, SC 29640
Dentist (Oral and Maxillofacial Surgery)
109 FLEETWOOD DR, SUITE D
EASLEY, SC 29640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samer Joudeh's NPI number?

The NPI number for Samer Joudeh is 1730197641. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Samer Joudeh located?

Samer Joudeh practices at 109 Fleetwood Dr Ste D, Easley, SC 29640. The listed phone number is (864) 855-0383.

What is Samer Joudeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Samer Joudeh enrolled in Medicare?

Yes. Samer Joudeh is registered in the Medicare PECOS enrollment system.

What insurance does Samer Joudeh accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 1 other insurer list Samer Joudeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samer Joudeh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.