1. Home
  2. Directory
  3. South Carolina
  4. Easley
  5. Dentist
  6. NPI Profile

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

Active since August 04, 2006Opted out of Medicare · through Jul 11, 2028
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: September 13, 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 has opted out of Medicare through July 11, 2028 and remains eligible to order and refer.

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
Phone(864) 855-0383
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
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN12739
MedicaidZG1698SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samer Atallah Joudeh Iii Dmd Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 11, 2012 through July 11, 2028.

Opt-Out Effective DateJuly 11, 2012
Opt-Out In Effect ThroughJuly 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

ERIN MORROW MSP. CCC-SLP
Speech-Language Pathologist
109 FLEETWOOD DR, SUITE D
EASLEY, SC 29640
Pickens County (864) 442-5955
WOFFORD HARRISON PT
Physical Therapist
109 FLEETWOOD DR, STE E
EASLEY, SC 29640
Pickens County (864) 855-7030
GENESIS MEDICAL CARE
Clinic/Center (Urgent Care)
109 FLEETWOOD DR, SUITE E
EASLEY, SC 29640
Pickens County (864) 644-8303
CAROLINA PULMONARY & SLEEP DISORDER, LLC
Internal Medicine (Pulmonary Disease)
109 FLEETWOOD DR, SUITE C
EASLEY, SC 29640
Pickens County (864) 850-0700
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
109 FLEETWOOD DR, SUITE B
EASLEY, SC 29640
Pickens County (864) 522-3970
STEPHEN A BOWIE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
109 FLEETWOOD DR, SUITE D
EASLEY, SC 29640
Pickens County (864) 855-0383

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?

No. Samer Joudeh has opted out of Medicare through July 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.