Shady Kerolles, DDS - Dentist in Irvine, CA

Shady Kerolles, DDS is a Dentist based in Irvine, California. Shady Kerolles is licensed to practice in California (license number 109121) and his current practice location is 15342 Saverne Cir, Irvine, California. He can be reached at his office (for appointments etc.) via phone at (714) 402-8237.

NPI number for Shady Kerolles is 1215629498 and his current mailing address is 15342 Saverne Cir, Irvine, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215629498.

Contact Information

Shady Kerolles, DDS
15342 Saverne Cir,
Irvine, CA 92604-2942
(714) 402-8237
Not Available



Healthcare Provider's Profile

Full NameShady Kerolles
GenderMale
SpecialityDentist
Location15342 Saverne Cir, Irvine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215629498
  • Provider Enumeration Date: 05/24/2023
  • Last Update Date: 08/17/2023

Medical Identifiers

Medical identifiers for Shady Kerolles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215629498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 109121 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Shady Kerolles is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shady Kerolles, DDS
15342 Saverne Cir,
Irvine, CA 92604-2942

Ph: (714) 402-8237
Shady Kerolles, DDS
15342 Saverne Cir,
Irvine, CA 92604-2942

Ph: (714) 402-8237

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Dentist in Irvine, CA

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Phone: 949-788-0088    
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Phone: 714-508-3600    Fax: 714-368-2092
Dr. Sohrab Rahbar, DDS
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Medicare: Not Enrolled in Medicare
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Padideh Shafiei, D.M.D.
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Phone: 949-246-0944    
Dr. Anton J Degeus, DDS
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Practice Location: 4330 Barranca Pkwy, Suite 220, Irvine, CA 92604
Phone: 949-857-9220    Fax: 949-857-4327
Dr. Neda Courtney Khodai, DDS
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Medicare: Medicare Enrolled
Practice Location: 62 Corporate Park Ste 220, Irvine, CA 92606
Phone: 949-553-1111    

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