Organization Active NPI

Panhandle Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Panama City, FL
National Provider Identifier
1972855773
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN16280 Issued in FL
Legal business name
PANHANDLE PEDIATRIC DENTISTRY, PLLC
Doing business as
Panhandle Pediatric Dentistry
Practice address
3123 W 23Rd St
Panama City, FL 32405-1828
Phone
(850) 481-1969
Fax
(850) 481-1972
NPI assigned
Oct 4, 2012
Organization subpart
Yes
Parent organization
PANHANDLE PEDIATRIC DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Dr. Stephen Eric Berry, D.M.D.
Title
Owner
Phone
(850) 481-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN16280 FL Primary

Addresses

Primary practice location

3123 W 23Rd St
Panama City, FL 32405-1828

Mailing address

3123 W 23Rd St
Panama City, FL 32405-1828
Phone (850) 481-1969

Other practice location 1

1800 Jenks Ave
Panama City, FL 32405-4642
Phone (850) 481-1969

Other practice location 2

403 Hollywood Blvd NW Ste 101A
Fort Walton Beach, FL 32548-4531
Phone (850) 481-1969

Other practice location 3

1890 Summit Blvd Ste 210
Pensacola, FL 32503-3357
Phone (850) 481-1969

Other practice location 4

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 481-1969

Other practice location 5

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 481-1969

Other practice location 6

202 Doctors Dr
Panama City, FL 32405-4454
Phone (850) 481-1969

Other practice location 7

4554 E Highway 20
Niceville, FL 32578-9755
Phone (850) 481-1969

Other practice location 8

4506 E Highway 20 Ste 100
Niceville, FL 32578-9767
Phone (850) 481-1969

Other practice location 9

870 Mack Bayou Rd Ste A
Santa Rosa Beach, FL 32459-7161
Phone (850) 481-1969

Other practice location 10

400 Grand Blvd Ste T-205
Miramar Beach, FL 32550-1711
Phone (850) 481-1969

Other identifiers 1

IdentifierTypeStateIssuer
1699889352OtherNPI TYPE 1 FOR STEPHEN E BERRY

Other names 2

  • Panhandle Pediatric Dentistry Doing business as
  • Eric Berry DMD PA Former legal business name

National Provider Directory

National Provider Directory
Part of
Panhandle Pediatric Dentistry PLLC

Locations

403 Hollywood Blvd NW
Ste 101A
Fort Walton Beach, FL 32548
Phone (850) 864-3131

400 Grand Blvd
Ste T205
Miramar Beach, FL 32550

4554 E Highway 20
Niceville, FL 32578
Phone (850) 279-6267

3123 W 23rd St
Panama City, FL 32405

1890 Summit Blvd
Ste 210
Pensacola, FL 32503
Phone (833) 419-1325

870 Mack Bayou Rd
Ste A
Santa Rosa Beach, FL 32459
Phone (850) 512-1755

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1972855773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051828",
            "telephone_number": "850-481-1969",
            "fax_number": "850-481-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051828",
            "telephone_number": "850-481-1969",
            "fax_number": "850-481-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Jenks Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054642",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Hollywood Blvd NW Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325484531",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 Summit Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325033357",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Bonita Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324013623",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 Brickyard Rd",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324286303",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054454",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4554 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325789755",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4506 E Highway 20 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325789767",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 Mack Bayou Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324597161",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Grand Blvd Ste T-205",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325501711",
            "country_code": "US",
            "telephone_number": "850-481-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PANHANDLE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANHANDLE PEDIATRIC DENTISTRY, PLLC",
        "enumeration_date": "2012-10-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-481-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 FOR STEPHEN E BERRY",
            "identifier": "1699889352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panhandle Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panhandle Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eric Berry DMD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.