| Mikhail Berdichevsky, D.d.s., Inc. | |
|
4444 Geary Blvd Suite 303 San Francisco CA 94118-3048 | |
| (415) 386-5590 | |
| (415) 386-5592 |
| Full Name | Mikhail Berdichevsky, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4444 Geary Blvd, San Francisco, California |
| Authorized Official Name and Position | Mikhail Berdichevsky (CEO) |
| Authorized Official Contact | 4153865590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikhail Berdichevsky, D.d.s., Inc. 4444 Geary Blvd Suite 303 San Francisco CA 94118-3048 Ph: (415) 386-5590 | Mikhail Berdichevsky, D.d.s., Inc. 4444 Geary Blvd Suite 303 San Francisco CA 94118-3048 Ph: (415) 386-5590 |
| NPI Number | 1992835425 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799025011 |
|---|---|
| Medicare Enrollment ID | O20190325001443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992835425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41158 (California) | Primary |
| Provider Name | Mikhail Berdichevsky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821178344 PECOS PAC ID: 7911234497 Enrollment ID: I20190806003365 |
Discovery Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 California St, Suite 200, San Francisco, CA 94109 Phone: 415-441-7766 Fax: 415-441-1919 | |
City Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 Geary Blvd Ste 400, San Francisco, CA 94118 Phone: 415-776-8581 Fax: 415-441-6224 | |
West Portal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Vicente St, San Francisco, CA 94127 Phone: 415-681-3171 Fax: 415-681-3187 | |
Main Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 5th St, Suite 23m, San Francisco, CA 94103 Phone: 415-929-6501 Fax: 415-929-6654 | |
Baek D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2460 Mission St Ste 204, San Francisco, CA 94110 Phone: 818-497-1222 | |
Jarrod C. Cornehl, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Stockton St Fl 4, San Francisco, CA 94108 Phone: 415-392-5025 | |
Jamie Leach, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Sutter St, Suite 1422, San Francisco, CA 94108 Phone: 650-353-0518 |