BERDY DENTAL GROUP NPI 1851433510

NPI Information

BERDY DENTAL GROUP is a periodontics dentist in Jacksonville, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. BERDY DENTAL GROUP NPI is 1851433510. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dr's Scott, Watson, Miller & Berdy, Pa.

The provider's business location address is:

1511 STOCKTON ST
JACKSONVILLE, FL
ZIP 32204-521
Phone: (904) 389-1376
Fax: (904) 389-1522

The provider's authorized official is Christian S. Berdy .
The authorized official title is Periodontist and has the following contact phone number (904) 389-1376.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/29/2022.

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:

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