Zac Berry Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ZAC BERRY DENTAL

Doing business as

Mt. Juliet Family Dentistry

Practice address

66 E. Hill St.
Mount Juliet, TN 37122

Phone

(615) 758-2085

NPI assigned

Jan 31, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zachary Berry, DDSNPI 1356723753

Title

Owner

Phone

(615) 758-2085

Specialties & licenses 1

Addresses

Other names 1

• Mt. Juliet Family Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Berry, D.D.S.

  • Dentist
  • Mount Juliet, TN
  • NPI 1356723753
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612051200000",
    "number": "1023609260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E. HILL ST.",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E. HILL ST.",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAC BERRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-758-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drberry@mtjuilietdentistry.com",
            "affiliation": "N",
            "address_1": "66 e. Hill St.",
            "city": "Mount Juliet",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mt. Juliet Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.