BERKELEYORINDA ORAL SURGERY NPI 1346660404

NPI Information

  • NPI: 1346660404
  • Provider Name: BERKELEYORINDA ORAL SURGERY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 2522 DANA ST
    SUITE 202
    BERKELEY, CA
    ZIP 94704
  • Phone: (510) 848-1055

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NPI Details

BERKELEYORINDA ORAL SURGERY is an oral and maxillofacial surgery clinic center in Berkeley, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in 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. BERKELEYORINDA ORAL SURGERY NPI is 1346660404. The provider is registered as an organization entity type.

The provider's business location address is:

2522 DANA ST
SUITE 202
BERKELEY, CA
ZIP 94704-895
Phone: (510) 848-1055
Fax: (510) 848-9100

The provider's authorized official is Richard M.a. Berger .
The authorized official title is Owner/partner and has the following contact phone number (510) 848-1055.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery29890CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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