Rajiv Bery, DMD | |
1212 N Kentucky St, Kingston, TN 37763-2328 | |
(865) 717-3586 | |
Not Available |
Full Name | Rajiv Bery |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1212 N Kentucky St, Kingston, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922592542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 10812 (Tennessee) | Primary |
Entity Name | Kdp Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699331421 PECOS PAC ID: 2365810629 Enrollment ID: O20221118000244 |
Mailing Address | Practice Location Address |
---|---|
Rajiv Bery, DMD 119 Walters Ave, Franklin, TN 37067-2604 Ph: () - | Rajiv Bery, DMD 1212 N Kentucky St, Kingston, TN 37763-2328 Ph: (865) 717-3586 |
Dr. Leonard Ray Fuqua Jr., DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 N Kentucky St, Kingston, TN 37763 Phone: 865-376-4445 Fax: 865-376-4441 | |
Dr. Kevin Christopher Law, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 | |
Dr. Joshua Adam Walker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Waterford Pl, Kingston, TN 37763 Phone: 865-248-2199 | |
Dr. Evon Elizabeth Hulse, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1212 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 Fax: 865-717-3581 | |
Miss Tara Helen Ericson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1212 North Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 | |
Eric Larson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Waterford Pl, Kingston, TN 37763 Phone: 865-376-9687 | |
Dr. Kerri Nicole Everson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 |