Provider Demographics
NPI:1528559317
Name:BERRY, CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:BERRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 US 15 501 HWY
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-7385
Mailing Address - Country:US
Mailing Address - Phone:910-947-2411
Mailing Address - Fax:910-947-2719
Practice Address - Street 1:4824 US 15 501 HWY
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-7385
Practice Address - Country:US
Practice Address - Phone:910-947-2411
Practice Address - Fax:910-947-2719
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice