NPI 1063596088

Michael W Berry DDS PC

Organisation Dental Clinic/Center Moberly, MO

Practice location

Address: 110 E Rollins St, Moberly, MO 65270-2269
Phone: (660) 263-1133
Fax: (660) 263-9181
Mailing address: 110 E Rollins St P.O. Box 517, Moberly, MO 65270-2269

Authorised official

Name: Michael Wayne Berry
Title: Dentist Owner
Phone: (660) 263-1133

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 014845 (MO)

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1063596088
Entity type: Organization
NPI issued: 25 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.