Individual provider · NPI-1

Dr. Robert Carl Berry, DDS

Dentist · Thornton, CO

NPI number1497042915
StatusActive
Last updated in NPPESMar 21, 2022

Details

NPI
1497042915
Entity type
Individual (NPI-1)
Name
Dr. Robert Carl Berry
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2011
Certification date
Mar 18, 2022
Last updated
Mar 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist10612COYes

Practice location

13691 Colorado Blvd Ste 101
Thornton, CO 80602-7068

Phone 303-920-2273 · Fax 303-280-4533

Mailing address

291 East Flatiron Circle, Unit D
Broomfield, CO 80026

Phone 303-872-2400

Other practice locations

291 E Flatiron Cir Unit D
Broomfield, CO 80021-8060

Phone 303-872-2400

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