Provider Demographics
NPI:1477798205
Name:BERKON, ROY SHELDON (ROY BERKON DDS)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:SHELDON
Last Name:BERKON
Suffix:
Gender:M
Credentials:ROY BERKON DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 SUMMERLY DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4219
Mailing Address - Country:US
Mailing Address - Phone:615-356-3799
Mailing Address - Fax:615-356-3799
Practice Address - Street 1:710 SUMMERLY DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4219
Practice Address - Country:US
Practice Address - Phone:615-356-3799
Practice Address - Fax:615-356-3799
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS23851223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics