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NPI Code Detail

MEDICARE: DR. CHARLES E BERNER DDS

MEDICARE:  DR. CHARLES E BERNER  DDS
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
11223G0001XGeneral Practice Dentistry14919OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396899613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES E BERNER DDS
Provider Business Mailing Address
First Line : 5564 WILSON MILLS RD STE 101
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3265
Country : US
Telephone Number : 440-473-0455
Fax Number : 440-473-0336
Provider Business Practice Location Address
First Line : 5564 WILSON MILLS RD STE 101
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3265
Country : US
Telephone Number : 440-473-0455
Fax Number : 440-473-0336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES E BERNER DDS” Practice Location

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