| Berkshire Dental Associates, Ltd. | |
|
1260 Broadcasting Rd Suite 100 Wyomissing PA 19610-3223 | |
| (610) 376-3210 | |
| (610) 376-2140 |
| Full Name | Berkshire Dental Associates, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1260 Broadcasting Rd, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Robert John Shuttlesworth (OWNER) |
| Authorized Official Contact | 6103763210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Dental Associates, Ltd. 1260 Broadcasting Rd Suite 100 Wyomissing PA 19610-3223 Ph: (610) 376-3210 | Berkshire Dental Associates, Ltd. 1260 Broadcasting Rd Suite 100 Wyomissing PA 19610-3223 Ph: (610) 376-3210 |
| NPI Number | 1396800678 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396800678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS025949L (Pennsylvania) | Primary |
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