DOROTHEA J BERRY DDS INC NPI 1659861425

NPI Information

  • NPI: 1659861425
  • Provider Name: DOROTHEA J BERRY DDS, INC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: SUNCOAST ORAL SURGERY
  • Address: 27462 CALLE ARROYO STE 46B
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Phone: (562) 240-3054

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NPI Details

DOROTHEA J BERRY DDS, INC is an oral and maxillofacial surgery dentist in San Juan Capistrano, CA. The provider is an oral and maxillofacial surgery dentist 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. DOROTHEA J BERRY DDS, INC NPI is 1659861425. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suncoast Oral Surgery.

The provider's business location address is:

27462 CALLE ARROYO STE 46B
SAN JUAN CAPISTRANO, CA
ZIP 92675-762
Phone: (562) 240-3054
Fax: (562) 317-5260

The provider's authorized official is Dorothea Berry .
The authorized official title is Omfs and has the following contact phone number (562) 240-3054.

The enumeration date for this NPI number is 5/16/2018 and was last updated on 5/16/2018.

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
11223S0112XDentistOral and Maxillofacial Surgery52968CALIFORNIAYes

What is NPI?

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

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