Provider Demographics
NPI:1679940142
Name:KARAGIORGOS, ANTONIOS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIOS
Middle Name:
Last Name:KARAGIORGOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:ADONIS
Other - Middle Name:
Other - Last Name:KARAGEORGOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:168 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2137
Mailing Address - Country:US
Mailing Address - Phone:207-781-5900
Mailing Address - Fax:207-781-3865
Practice Address - Street 1:FALMOUTH DENTAL ARTS
Practice Address - Street 2:168 US ROUTE 1
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-0410
Practice Address - Country:US
Practice Address - Phone:207-781-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME44471223G0001X
MEDEN44471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice