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NPI Code Detail

MEDICARE: ANDREW BERMAN, DDS, INC

MEDICARE: ANDREW BERMAN, DDS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)16381OH

General Provider Information

NPI Number : 1063681989
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW BERMAN, DDS, INC
Provider Business Mailing Address
First Line : 911 E AURORA RD
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-1905
Country : US
Telephone Number : 330-467-1800
Fax Number : 330-467-1811
Provider Business Practice Location Address
First Line : 911 E AURORA RD
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-1905
Country : US
Telephone Number : 330-467-1800
Fax Number : 330-467-1811
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. FANNY B LYONS
Credential :
Telephone Number : 330-467-1800
Provider Enumeration Date : 02/25/2008
Last Update Date : 02/25/2008

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Directions to “ANDREW BERMAN, DDS, INC ” Practice Location

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