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Contact Information

KEITH BERRY, DMD
350 HILTON RD
SUITE 201
MYRTLE BEACH, SC29572-6623
 Phone: 843-497-3707
 Fax: 843-497-3713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for KEITH BERRY · (Male)

NPI # 1750355145
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 2698
  • SC Medicaid ZX2698
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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