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NPI 1740728245

NPI 1740728245 : ZOLTAN T. BERKY DDS MS : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1740728245
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZOLTAN T. BERKY DDS MS 
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Dates
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    Enumeration Date     |    02/03/2017
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    Last Update Date     |    02/03/2017
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Provider Practice Location Address
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    Address Line         |    3300 BATTLEGROUND AVE SUITE 110
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27410-2465
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    Country              |    US
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    Telephone            |    336-545-7858
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    Fax                  |    336-868-3974
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Provider Business Mailing Address
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    Address Line         |    3300 BATTLEGROUND AVE SUITE 110
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27410-2465
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    Country              |    US
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    Telephone            |    336-545-7858
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    Fax                  |    336-868-3974
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Authorized Official
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    Title or Position    |    DR
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    Name                 |    DR. ZOLTAN T BERKY 
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    Credential           |    DDS
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    Telephone            |    336-545-7858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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