Evan Lyle Berson in Bala Cynwyd - General Practice
Evan Lyle Berson - NPI 1639276355
Evan Lyle Berson is a General Practice in Bala Cynwyd, Pennsylvania. Evan Lyle Berson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Evan Lyle Berson is 1639276355. The last update date is 2007-07-08.
Evan Lyle Berson's current location address is 301 E City Ave, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106676666. The mailing address for Evan Lyle Berson is 301 E City Ave, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan Lyle Berson |
|---|---|
| Address | 301 E City Ave, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106676666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1639276355 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 E City Ave |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190041708 |
| Phone Number | 6106676666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS-024034-L |
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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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What is the unique 10-digit identifier code assigned to Evan Lyle Berson by the Centers for Medicare & Medicaid Services?
The Evan Lyle Berson has been issued the NPI (National Provider Identifier) 1639276355 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Evan Lyle Berson's facilities are situated?
The facilities of Evan Lyle Berson are physically located at the following address: 301 E City Ave, Bala Cynwyd, PA, 190041708.
What is Evan Lyle Berson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evan Lyle Berson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Evan Lyle Berson receive its 1639276355 assignment from the Centers for Medicare & Medicaid Services?
The Evan Lyle Berson was assigned its 1639276355 by the Centers for Medicare & Medicaid Services on 2006-09-17.
When was the information regarding Evan Lyle Berson most recently updated?
The details pertaining to the Evan Lyle Berson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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