Allen Berk, DDS
Individual provider Active NPI General Practice Dentistry · Troy, OH
NPI 1902908098 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1902908098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 21174 (OH)
- Practice address
- 1820 W Main St
Troy, OH 45373-2304 - Phone
- (937) 332-8644
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 21174 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Family Dental Allen Berk D.D.S. Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21174 | OH | Yes |
Addresses
Primary practice location
1820 W Main St
Troy, OH 45373-2304
Mailing address
1820 W Main St
Troy, OH 45373-2304
Phone (937) 332-8644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2327619 | Medicaid | OH |
Other providers in Troy, OH
- Christy Marie Beireis
- Katherine Bellas
- Emily Bengston
- Mark Thomas Bentley
- Kathryn Rhae Benton
- Rebecca Marie Berning
- Gail Besecker
- Michael S Bessler
- Douglas Bias
- Nabila Habib Bibawy
All providers in Troy, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. 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.