Provider Demographics
NPI:1851470181
Name:BERNING, JAMES LEO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEO
Last Name:BERNING
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 1:1555 S BYRNE RD
Mailing Address - Street 2:SUITE #107
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614
Mailing Address - Country:US
Mailing Address - Phone:419-385-9208
Mailing Address - Fax:419-385-5322
Practice Address - Street 1:1555 S BYRNE RD
Practice Address - Street 2:SUITE #107
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614
Practice Address - Country:US
Practice Address - Phone:419-385-9208
Practice Address - Fax:419-385-5322
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH169271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice