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NPI 1144225830

NPI 1144225830 : STEVEN E BERRY D.D.S. : WYLIE, TX

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General NPI Number Information
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    NPI Number           |    1144225830
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN E BERRY D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2005
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    901 W FM 544 STE 100 
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    City                 |    WYLIE
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    State                |    TX
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    Zip                  |    75098-4918
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    Country              |    US
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    Telephone            |    972-442-0078
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    Fax                  |    972-442-0969
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Provider Business Mailing Address
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    Address Line         |    901 W FM 544 STE 100 
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    City                 |    WYLIE
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    State                |    TX
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    Zip                  |    75098-4918
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    Country              |    US
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    Telephone            |    972-442-0078
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    Fax                  |    972-442-0969
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    22223
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    License Number State |    TX
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