Mark Berman, DDS
Individual provider Active NPI Dentist · Woodbridge, CT
NPI 1609866441 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609866441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 06766 (CT)
- Practice address
- 264 Amity Rd
Woodbridge, CT 06525-2200 - Phone
- (203) 389-2815
- Fax
- (203) 389-9484
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 06766 | CT | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 06766 | CT | Yes |
Addresses
Primary practice location
264 Amity Rd
Woodbridge, CT 06525-2200
Mailing address
PO Box 166
Bethany, CT 06524-0166
Phone (203) 278-0885
Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.