MEDICARE: BERRYHILL DENTAL CENTER

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	122300000X	Dentist

General Provider Information

NPI Number	:	1952246894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERRYHILL DENTAL CENTER

Provider Business Mailing Address
First Line	:	9200 CHIMNEYROCK BLVD STE 104
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-2201
Country	:	US
Telephone Number	:	901-309-6801
Fax Number	:	901-309-6801

Provider Business Practice Location Address
First Line	:	9200 CHIMNEYROCK BLVD STE 104
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38016-2201
Country	:	US
Telephone Number	:	901-309-6801
Fax Number	:	901-309-6801

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. EUNJUNG EDWARDS
Credential	:	DDS
Telephone Number	:	901-309-6801

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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