Provider Demographics
NPI:1982853339
Name:BERKOWITZ, STEVEN HIRSCH (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HIRSCH
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 KANE CONCOURSE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2132
Mailing Address - Country:US
Mailing Address - Phone:305-865-0328
Mailing Address - Fax:
Practice Address - Street 1:1048 KANE CONCOURSE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2132
Practice Address - Country:US
Practice Address - Phone:305-865-0328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-172081223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics