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General NPI Number Information
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NPI Number | 1710847496
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Entity Type | Organization
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Legal Business Name | BERRY FAMILY DENTAL PLLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 6525 N BUFFALO DR STE 180
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City | LAS VEGAS
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State | NV
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Zip | 89131-4078
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Country | US
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Telephone | 702-256-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 9250 ALBUS HILLS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-1232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | GARRETT BERRY
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Credential | DMD
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Telephone | 702-528-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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