Kenneth Wayne Berger in Atlanta - General Practice

Kenneth Wayne Berger - NPI 1629122593

Kenneth Wayne Berger is a General Practice in Atlanta, Georgia. Kenneth Wayne Berger practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Wayne Berger is 1629122593. The last update date is 2007-07-08.

Kenneth Wayne Berger's current location address is 3330 Cumberland Blvd, Atlanta, Georgia. You can contact this provider via phone number 4043515585 and fax number 6782415585. The mailing address for Kenneth Wayne Berger is 3330 Cumberland Blvd, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Wayne Berger
Address 3330 Cumberland Blvd, Atlanta, Georgia
Phone Number 4043515585
Fax Number 6782415585
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1629122593
Provider Enumeration Date 2007-01-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3330 Cumberland Blvd
City Atlanta
State Georgia (GA)
Post Code 303395995
Phone Number 4043515585
Fax Number 6782415585

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11388
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kenneth Wayne Berger

What is the Kenneth Wayne Berger's unique identification number?

The Kenneth Wayne Berger has been assigned the NPI (National Provider Identifier) Number 1629122593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Kenneth Wayne Berger is physically located?

The Kenneth Wayne Berger is situated at the following address: 3330 Cumberland Blvd, Atlanta, GA 303395995.

What is the Kenneth Wayne Berger's area of specialization and corresponding taxonomy classification?

The Kenneth Wayne Berger's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Kenneth Wayne Berger receive the assignment of its 1629122593 from the Centers for Medicare & Medicaid Services?

The Kenneth Wayne Berger was issued its 1629122593 by the Centers for Medicare & Medicaid Services on 2007-01-22.

When was the Kenneth Wayne Berger's information last updated?

The Kenneth Wayne Berger's information was last updated on 2007-07-08.

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