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DR RUSSELL BERRY DDS PA NPI 1518079177


NPI Information

NPI: 1518079177
Provider Name: DR RUSSELL BERRY DDS PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1220 N DIVISION ST
FORREST CITY, AR
ZIP 72335
Phone: (870) 633-4219
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DR RUSSELL BERRY DDS PA is a general practice dentist in Forrest City, AR. The provider is 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. DR RUSSELL BERRY DDS PA NPI is 1518079177. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 N DIVISION ST
FORREST CITY, AR
ZIP 72335-307
Phone: (870) 633-4219
Fax: (870) 633-4120

The provider's authorized official is John R Berry .
The authorized official title is President Dentist and has the following contact phone number (870) 633-4219.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice2380ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.