Paul E. Berger, D.D.S.
Individual provider Active NPI Periodontics · Key Largo, FL
NPI 1255484184 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255484184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- DN 4522 (FL)
- Practice address
- 103400 Overseas Hwy Ste 229
Key Largo, FL 33037-2849 - Phone
- (305) 453-1811
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 4522 | FL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr M Center Key Largo PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN 4522 | FL | Yes |
Addresses
Primary practice location
103400 Overseas Hwy Ste 229
Key Largo, FL 33037-2849
Mailing address
103400 Overseas Hwy Ste 229
Key Largo, FL 33037-2849
Phone (305) 453-1811
Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.