Dr Ghassan R Antaki, DDS in Claremont, CA - Medicare Dentist Provider

Dr Ghassan R Antaki, DDS is a medicare enrolled "Dentist - General Practice" provider in Claremont, California. His current practice location is 961 Appalachian, Claremont, California. You can reach out to his office (for appointments etc.) via phone at (909) 625-2568.

Dr Ghassan R Antaki is licensed to practice in California (license number 38024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144302001.

Contact Information

	Dr Ghassan R Antaki, DDS
	961 Appalachian, Claremont, CA 91711-8307
	(909) 625-2568
	Not Available

Healthcare Provider's Profile

Full Name	Dr Ghassan R Antaki
Gender	Male
Speciality	Dentist - General Practice
Location	961 Appalachian, Claremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144302001
Provider Enumeration Date: 10/19/2006
Last Update Date: 05/31/2012

Medicare PECOS Information:

PECOS PAC ID: 6002113446
Enrollment ID: I20160329002866

Medical Identifiers

Medical identifiers for Dr Ghassan R Antaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144302001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	38024 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ghassan R Antaki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ghassan R Antaki, DDS 961 Appalachian, Claremont, CA 91711-8307 Ph: (909) 625-2568	Dr Ghassan R Antaki, DDS 961 Appalachian, Claremont, CA 91711-8307 Ph: (909) 625-2568

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Dentist in Claremont, CA

Dr. Harry C Brown, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 West Baseline Road, Suite B, Claremont, CA 91711 Phone: 909-625-6767 Fax: 909-398-1480
Dr. Carmelo Isidore Bruny, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 405 W Foothill Blvd Ste 104, Claremont, CA 91711 Phone: 909-626-1236
Dr. Michelle Leah Ginsberg, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4517 Liveoak Dr, Claremont, CA 91711 Phone: 561-703-5365
Dr. Haris S Hashimi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 410 W Baseline Rd, Claremont, CA 91711 Phone: 909-398-4800 Fax: 909-398-4900
Dr. Gregrey F. Bodhaine, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 231 N Indian Hill Blvd, Claremont, CA 91711 Phone: 909-626-4672 Fax: 909-624-6751
German Guillermo Jaquez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 N Indian Hill Blvd # B207, Claremont, CA 91711 Phone: 909-624-1111 Fax: 909-624-3212
Dr. Marianne I. Talukdar, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 460 N Indian Hill Blvd, Claremont, CA 91711 Phone: 909-625-4900 Fax: 909-625-4907

Dr Ghassan R Antaki, DDS - Medicare Dentist in Claremont, CA