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KEN BERLEY D.D.S. LTD. NPI 1568663821


NPI Information

NPI: 1568663821
Provider Name: KEN BERLEY, D.D.S., LTD.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5417 PINNACLE POINT
SUITE 200
ROGERS, AR
ZIP 72758
Phone: (479) 254-0200
Get Directions

KEN BERLEY, D.D.S., LTD. is a general practice dentist in Rogers, 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. KEN BERLEY, D.D.S., LTD. NPI is 1568663821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5417 PINNACLE POINT
SUITE 200
ROGERS, AR
ZIP 72758-120
Phone: (479) 254-0200
Fax: (479) 254-0600

The provider's authorized official is Ken Berley .
The authorized official title is President,owner,dentist and has the following contact phone number (479) 254-0200.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 2/26/2013.


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 Practice2379ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16720530001MEDICARE NSCARKANSAS
258912OTHERARKANSASBLUE CROSS NUMBER

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: 4/28/2024

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