Provider Demographics
NPI:1740728245
Name:ZOLTAN T. BERKY DDS MS
Entity type:Organization
Organization Name:ZOLTAN T. BERKY DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOLTAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:BERKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-545-7858
Mailing Address - Street 1:3300 BATTLEGROUND AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2465
Mailing Address - Country:US
Mailing Address - Phone:336-545-7858
Mailing Address - Fax:336-868-3974
Practice Address - Street 1:3300 BATTLEGROUND AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2465
Practice Address - Country:US
Practice Address - Phone:336-545-7858
Practice Address - Fax:336-868-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty