Bertoch, Cody Parker

Bertoch, Cody Parker is an individual health care provider with primary practice located at 1600 Sw Archer Rd # D10-37 , Gainesville FL 32610-0436. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Bertoch, Cody Parker can be contacted via phone (352) 273-5440.

Contact Information

Primary practice address
1600 Sw Archer Rd # D10-37 Gainesville FL 32610-0436
Phone: (352) 273-5440
Fax: (352) 273-5446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DRPM2189 Florida
Dental Providers / Endodontics 1223E0200X DN25420 Florida

Profile Details

NPI number 1134746738
LBN Legal business name Bertoch, Cody Parker
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2020
Last updated Jun 9th, 2021 - 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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