Berkley, Jeffrey Scott

Berkley, Jeffrey Scott is an individual health care provider with primary practice located at 323 Main Street , West Haven CT 06516. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berkley, Jeffrey Scott can be contacted via phone (203) 937-7181.

Contact Information

Primary practice address
323 Main Street West Haven CT 06516
Phone: (203) 937-7181
Fax: (203) 937-1940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7026 Connecticut

Profile Details

NPI number 1699854810
LBN Legal business name Berkley, Jeffrey Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 20th, 2013 - about 13 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 1699854810 NPPES
Connecticut MEDICAID 002070267

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