Mari N Berry DMD PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

016.0053442 Issued in VT

Legal business name

MARI N BERRY DMD PLC

Practice address

187 Highland Ave
White River Junction, VT 05001-8023

Phone

(802) 295-5252

Fax

(802) 281-6272

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mari N. Berry, DMD

Title

Owner/Member

Phone

(201) 410-9879

Specialties & licenses 1

Addresses

Other names 1

• White River Smiles Doing business as

Locations

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1255729273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HIGHLAND AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018023",
            "telephone_number": "802-295-5252",
            "fax_number": "802-281-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HIGHLAND AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018023",
            "telephone_number": "802-295-5252",
            "fax_number": "802-281-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI N BERRY DMD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "201-410-9879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VT",
            "license": "016.0053442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha A Maguire, PHARMD, RPH
• Peter James Mahar, M.D.
• Carolyn Rae Malikowski, PHARM.D.
• Richard Jeffrey Mansfield, M.D.
• Courtney P Marchetti, MSN
• Mark E. Young, DDS, PC
• Timothy A Marr, RD
• Debra Marshall
• Lynn Levasseur Marshall, MD
• David P Marsico, LICSW

• Dental Clinic/Center in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Dental Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.