| Organization Name: | MICHAEL P. BERRY, D.D.S., P.C. |
| NPI Number: | 1245450535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL P. BERRY (PRESIDENT OF CORPORATION) |
| Mailing Address: | 6004 N.w. 9 Hwy. Parkville |
| State: | MO US |
| Postal Code: | 641523549 |
| Phone Number: | 8167465437 |
| Fax Number: | 8167468047 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | DE015875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |