Berry Jr, John Chester

Berry Jr, John Chester is an sole proprietor health care provider with primary practice located at 632 Gary St , Durham NC 27703-2202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berry Jr, John Chester can be contacted via phone (919) 682-4861.

Contact Information

Primary practice address
632 Gary St Durham NC 27703-2202
Fax: (919) 688-4861
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4425 North Carolina

Profile Details

NPI number 1760426159
LBN Legal business name Berry Jr, John Chester
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760426159 NPPES
North Carolina Other D402554 CIGNA
North Carolina Other 111150 CIGNA
North Carolina MEDICAID 8990679 CIGNA
North Carolina Other 90679 CIGNA

Popular Providers