Dr Kyle Nathaniel Berrong, DDS is a
Military Health Care Provider based in Bethesda, Maryland. Dr Kyle Nathaniel Berrong is licensed to practice in Tennessee (license number 10250) and his current practice location is
8901 Wisconsin Ave Omfs Clinic Bldg 9, 2nd Deck Rm 2505, Bethesda, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 295-4340.
NPI number for Dr Kyle Nathaniel Berrong is 1609229103 and his current mailing address is 1413 Lincolnshire Dr, Maryville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609229103.
Healthcare Provider's Profile
Full Name | Dr Kyle Nathaniel Berrong |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 8901 Wisconsin Ave Omfs Clinic Bldg 9, 2nd Deck Rm 2505, Bethesda, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609229103
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 08/22/2023
Medical Identifiers
Medical identifiers for Dr Kyle Nathaniel Berrong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609229103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 10250 (Tennessee) | Secondary |
171000000X | Military Health Care Provider | 10250 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Nathaniel Berrong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kyle Nathaniel Berrong, DDS 1413 Lincolnshire Dr, Maryville, TN 37803-7702 Ph: (865) 773-9285 | Dr Kyle Nathaniel Berrong, DDS 8901 Wisconsin Ave Omfs Clinic Bldg 9, 2nd Deck Rm 2505, Bethesda, MD 20889-6122 Ph: (301) 295-4340 |
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