Bermudez, Lina Maria

Bermudez, Lina Maria is an individual health care provider with primary practice located at 343 Main Street , Great Barrington MA 01230. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bermudez, Lina Maria can be contacted via phone (413) 528-5565.

Contact Information

Primary practice address
343 Main Street Great Barrington MA 01230
Phone: (413) 528-5565
Fax: (413) 528-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10558 Massachusetts
Dental Providers / General Practice 1223G0001X DL13088 Massachusetts

Profile Details

NPI number 1003058488
LBN Legal business name Bermudez, Lina Maria
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003058488 NPPES
Massachusetts Other DL10558 MASSACHUSETTS LICENSE
Massachusetts MEDICAID 110114758A MASSACHUSETTS LICENSE

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