Michelle Nicole Berry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4551 Issued in ME

Practice address

Aberdeen Proving Ground Dental Clinic
6455 Machine Street, Building 2501
Aberdeen Proving Ground, MD 21005

Phone

(410) 278-1795

NPI assigned

May 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin Army Community Hospital

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Fort Benning, GA
  • NPI 1174726640
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1992930978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BERRY ROAD",
            "city": "WAYNE",
            "state": "ME",
            "postal_code": "042843124",
            "telephone_number": "207-242-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ABERDEEN PROVING GROUND DENTAL CLINIC",
            "address_2": "6455 MACHINE STREET, BUILDING 2501",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "21005",
            "telephone_number": "410-278-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "LAN458",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH3596",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "NOX790",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Anderson, PHARMD
• Cassidy Renee Ballard
• Christina Bergeron, PHARM.D.
• Lisa Boehm-Buhite, RPH
• Matthew Joseph Boren, D.O.
• Milagros Borrero-Ruiz, REGISTERED NURSE
• Dennis Brady
• Beverly Ann Britton, REGISTERED NURSE

• Dentist in Aberdeen Proving Ground, MD
• Providers in Aberdeen Proving Ground, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.