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General NPI Number Information
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NPI Number | 1285432666
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Entity Type | Organization
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Legal Business Name | JEFFREY M BERLIN DMD LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3641 LANDER RD
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5730
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Country | US
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Telephone | 216-464-7654
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 BEACHWOOD BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1547
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Country | US
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Telephone | 440-840-4362
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Fax | 440-840-4362
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Authorized Official
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Title or Position | OWNER, PEDIATRIC DENTIST
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Name | DR. JEFFREY M. BERLIN
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Credential | DMD
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Telephone | 440-840-4362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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