Berdy Dental Group in Jacksonville - Periodontics
Berdy Dental Group - NPI 1851433510
Berdy Dental Group is a Periodontics in Jacksonville, Florida. Berdy Dental Group practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Berdy Dental Group is 1851433510. The last update date is 2022-07-29.
Berdy Dental Group's current location address is 1511 Stockton St, Jacksonville, Florida. You can contact this provider via phone number 9043891376 and fax number 9043891522. The mailing address for Berdy Dental Group is 1511 Stockton St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Berdy Dental Group |
|---|---|
| Address | 1511 Stockton St, Jacksonville, Florida |
| Phone Number | 9043891376 |
| Fax Number | 9043891522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Berdy S. Christian |
| Credentials | DDS, MS |
| Telephone Number | 9043891376 |
NPI Number Detail
| NPI Number | 1851433510 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2022-07-29 |
Provider Mailing Address Detail
| Address | 1511 Stockton St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044521 |
| Phone Number | 9043891376 |
| Fax Number | 9043891522 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5959 |
|
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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Post Comment/ Review Below
What is the Berdy Dental Group's 1851433510?
The Berdy Dental Group's NPI (National Provider Identifier) Number is 1851433510. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Berdy Dental Group is geographically located?
The Berdy Dental Group is physically situated at the following location: 1511 Stockton St, Jacksonville, FL, 322044521.
What is Berdy Dental Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Berdy Dental Group is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Berdy Dental Group receive the assignment of its 1851433510 from the Centers for Medicare & Medicaid Services?
The Berdy Dental Group was issued its 1851433510 by the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date were the Berdy Dental Group's details last updated?
The information pertaining to the Berdy Dental Group, including its address, specialty, and other details, was most recently updated on 2022-07-29.
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