Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Leslie Czerepak, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1861740722

Dr. Jonathan Leslie Czerepak, DMD is an Oral Surgery in Fort, North Carolina. Graduated from Tufts University School of Dental Medicine in 2012, 14 years ago. Practices with Theoharidis and Meier PC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Trained at
Tufts University School of Dental Medicine
Licensed in
MA
In the registry since
2012
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2716 Rielly Rd
Fort, NC 28310-7302
Phone: (910) 643-2196
Fax: (910) 396-7017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1856104 (MA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DN1856104 (MA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN1856104 (MA)

Record details

NPI number1861740722
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 27, 2012
Last updated in NPPESAugust 22, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2012 (14 years in practice)
Group practice Theoharidis And Meier Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount