John Leonard Meci, D.M.D.

Individual provider Active NPI General Practice Dentistry · Coplay, PA

NPI 1407072010 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407072010
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS018791L (PA)
Practice address
41 N 3Rd St
Coplay, PA 18037-1501
Phone
(610) 262-3436
Fax
(610) 262-2574
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160120000538 PA Order and Referring Only - Oral Surgery
Practitioner - Oral Surgery
7113220476

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS018791L PA Yes

Addresses

Primary practice location

41 N 3Rd St
Coplay, PA 18037-1501

Mailing address

41 N 3Rd St
Coplay, PA 18037-1501
Phone (610) 262-3436

Other providers in Coplay, PA

All providers in Coplay, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.