Richard Earl Berryman DDS

NPI 1053394411 - Dentist - 122300000X

NPI Details
NPI 1053394411
Gender Male
Enumeration Date 11/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
301 W MARKET ST
BOLIVAR TN, 38008-2603, US
Phone (731) 658-5551
Fax (731) 658-3979
Business Location
301 W MARKET ST
BOLIVAR TN, 38008-2603, US
Phone (731) 658-5551
Fax (731) 658-3979
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number DS2003
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According to our database, Dr. Richard Earl Berryman DDS NPI is 1053394411, taxonomy code is 122300000X and license number is DS2003, license state is located at Tennessee. Richard Earl Berryman DDS physically located at 301 W Market St, Bolivar TN, 38008-2603. NPI Number Richard Earl Berryman DDS has the Individual type.

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1053394411 NPI number is provided on an as is basis without warranty of any kind. 1053394411 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Earl Berryman DDS are for informational purposes only.