MEDICARE: FRANK BERDOS DMD PLLC

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
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1811577299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK BERDOS DMD PLLC

Provider Business Mailing Address
First Line	:	1945 WORTH CT
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-2110
Country	:	US
Telephone Number	:	941-242-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1945 WORTH CT
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34211-2110
Country	:	US
Telephone Number	:	941-242-8331
Fax Number	:

Authorized Official
Title or Position	:	ENDODONTIST
Name	:	DR. FRANK PETER BERDOS
Credential	:	DMD MS
Telephone Number	:	941-242-8331

Provider Enumeration Date	:	04/10/2021
Last Update Date	:	04/10/2021

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