Robert Ellis Berry is a Dentist in Thomson, Georgia. Robert Ellis Berry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Ellis Berry is 1124046974. The last update date is 2007-07-08.
Robert Ellis Berry's current location address is Po Box 638, Thomson, Georgia. You can contact this provider via phone number 7065955785 and fax number 7065955786. The mailing address for Robert Ellis Berry is Po Box 638, Thomson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Ellis Berry |
|---|---|
| Address | Po Box 638, Thomson, Georgia |
| Phone Number | 7065955785 |
| Fax Number | 7065955786 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124046974 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 638 |
|---|---|
| City | Thomson |
| State | Georgia (GA) |
| Post Code | 308240638 |
| Phone Number | 7065955785 |
| Fax Number | 7065955786 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7988 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Robert Ellis Berry's unique identification number?
The Robert Ellis Berry has been assigned the NPI (National Provider Identifier) Number 1124046974 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Robert Ellis Berry is geographically located?
The Robert Ellis Berry is physically situated at the following location: Po Box 638, Thomson, GA, 308240638.
What is the Robert Ellis Berry's specialty and taxonomy code?
The Robert Ellis Berry's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Robert Ellis Berry receive the assignment of its 1124046974 from the Centers for Medicare & Medicaid Services?
The Robert Ellis Berry was issued its 1124046974 by the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information regarding Robert Ellis Berry most recently updated?
The details pertaining to the Robert Ellis Berry, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1407858566
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