Christian Sven Berdy in Jacksonville - Periodontics
Christian Sven Berdy - NPI 1396765889
Christian Sven Berdy is a Periodontics in Jacksonville, Florida. Christian Sven Berdy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Christian Sven Berdy is 1396765889. The last update date is 2007-07-08.
Christian Sven Berdy's current location address is 1511 Stockton St, Jacksonville, Florida. You can contact this provider via phone number 9043891376 and fax number 9043861522. The mailing address for Christian Sven Berdy is 1511 Stockton St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christian Sven Berdy |
|---|---|
| Address | 1511 Stockton St, Jacksonville, Florida |
| Phone Number | 9043891376 |
| Fax Number | 9043861522 |
| Sole Proprietor | N |
| Credentials | DDS,MS |
NPI Number Detail
| NPI Number | 1396765889 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1511 Stockton St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044521 |
| Phone Number | 9043891376 |
| Fax Number | 9043861522 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN 5959 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Christian Sven Berdy by the Centers for Medicare & Medicaid Services?
The Christian Sven Berdy has been issued the NPI (National Provider Identifier) 1396765889, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Christian Sven Berdy located?
The Christian Sven Berdy is located at 1511 Stockton St, Jacksonville, FL 322044521.
What is Christian Sven Berdy's area of expertise and its corresponding taxonomy classification?
The Christian Sven Berdy's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396765889 to Christian Sven Berdy?
The Centers for Medicare & Medicaid Services originally issued the 1396765889 to Christian Sven Berdy on 2006-07-20.
As of what date was the information pertaining to Christian Sven Berdy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Christian Sven Berdy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.