Provider Demographics
NPI:1710405253
Name:EK, BERIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERIT
Middle Name:
Last Name:EK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8683 E LINCOLN AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9812
Mailing Address - Country:US
Mailing Address - Phone:303-484-1246
Mailing Address - Fax:
Practice Address - Street 1:8683 E LINCOLN AVE STE 130
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-9812
Practice Address - Country:US
Practice Address - Phone:303-484-1246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002039431223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics