Berry, Keith

Berry, Keith is an individual health care provider with primary practice located at 350 Hilton Rd Suite 201, Myrtle Beach SC 29572-6623. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Berry, Keith can be contacted via phone (843) 497-3707.

Contact Information

Primary practice address
350 Hilton Rd Suite 201 Myrtle Beach SC 29572-6623
Phone: (843) 497-3707
Fax: (843) 497-3713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2698 South Carolina

Profile Details

NPI number 1750355145
LBN Legal business name Berry, Keith
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750355145 NPPES
South Carolina MEDICAID ZX2698

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