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Dr. Robert Ellis Berry Sr., DDS

Dentist in Thomson, GA. Individual provider (NPI-1).

NPI number1124046974
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124046974
Entity type
Individual (NPI-1)
Name
Dr. Robert Ellis Berry Sr.
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 18, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist7988GAYes

Practice location

1025c West Hill St
Thomson, GA 30824

Phone 706-595-5785 · Fax 706-595-5786

Mailing address

Po Box 638
Thomson, GA 30824-0638

Phone 706-595-5785 · Fax 706-595-5786

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Other Dentist providers in Thomson, GA

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