BERKSHIRE DENTAL GROUP PLC NPI 1982870838

NPI Information

BERKSHIRE DENTAL GROUP PLC is a general practice dentist in Broken Arrow, OK. 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. BERKSHIRE DENTAL GROUP PLC NPI is 1982870838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8701 S GARNETT RD
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 250-9528
Fax: (918) 250-9529

The provider's authorized official is Wesley Mark Hodge .
The authorized official title is President and has the following contact phone number (918) 250-9528.

The CLIA number assigned to this NPI record is 37D2051995 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/1/2008.

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:

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.