Alan Brent Berry, DDS
Individual provider Active NPI General Practice Dentistry · Haughton, LA
NPI 1992832083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992832083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4530 (LA)
- Practice address
- 2900 Hwy. 80 East
Haughton, LA 71037 - Phone
- (318) 949-1771
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 4530 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4530 | LA | Yes |
Addresses
Primary practice location
2900 Hwy. 80 East
Haughton, LA 71037
Mailing address
2900 Hwy. 80 East
Haughton, LA 71037
Phone (318) 949-1771
Other providers in Haughton, LA
- James Balthazar Sr.
- Ann C. Batson
- Bayou Sports Medicine LLC
- Jenna Bison
- Ashley Bradford
- Brittany G House a Professional Corporation
- Brookshire Grocery Company
- Hunter Brown
All providers in Haughton, LA · General Practice Dentistry in Louisiana
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.