Steven L Berke in Norwich - Oral And Maxillofacial Surgery
Steven L Berke - NPI 1275527772
Steven L Berke is a Oral And Maxillofacial Surgery in Norwich, Connecticut. Steven L Berke practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Steven L Berke is 1275527772. The last update date is 2013-09-30.
Steven L Berke's current location address is 130 New London Tpke, Norwich, Connecticut. You can contact this provider via phone number 8608860651 and fax number 8608231577. The mailing address for Steven L Berke is 130 New London Tpke, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven L Berke |
|---|---|
| Address | 130 New London Tpke, Norwich, Connecticut |
| Phone Number | 8608860651 |
| Fax Number | 8608231577 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1275527772 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2013-09-30 |
Provider Mailing Address Detail
| Address | 130 New London Tpke |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63602624 |
| Phone Number | 8608860651 |
| Fax Number | 8608231577 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6728 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190000670 | CT | MEDICARE | |
| 020006728CT01 | CT | BC/BS PROVIDER ID # | |
| 5477144 | CT | AETNA MEDICAL PROVIDER ID | |
| 4083333 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Steven L Berke by the Centers for Medicare & Medicaid Services (CMS)?
The Steven L Berke has been assigned the NPI (National Provider Identifier) 1275527772. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Steven L Berke is physically located?
The Steven L Berke is situated at the following address: 130 New London Tpke, Norwich, CT 63602624.
What is Steven L Berke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Steven L Berke is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did Steven L Berke receive its 1275527772 assignment from the Centers for Medicare & Medicaid Services?
The Steven L Berke was assigned its 1275527772 on 2005-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Steven L Berke most recently updated or revised?
The details related to Steven L Berke, including its address, specialty, and other relevant information, were last updated or revised on 2013-09-30.