| Dr Jeffrey Scott Berkley, DDS | |
|
323 Main Street, West Haven, CT 06516 | |
| (203) 937-7181 | |
| (203) 937-1940 |
| Full Name | Dr Jeffrey Scott Berkley |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 323 Main Street, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699854810 | NPI | - | NPPES |
| 002070267 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 7026 (Connecticut) | Primary |
| Entity Name | Connecticut Oral & Maxillofacial Surgery Centers, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083818710 PECOS PAC ID: 4486568409 Enrollment ID: O20031114000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Scott Berkley, DDS 323 Main Street, West Haven, CT 06516 Ph: (203) 937-7181 | Dr Jeffrey Scott Berkley, DDS 323 Main Street, West Haven, CT 06516 Ph: (203) 937-7181 |
Dr. Lawrence Messina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 141 Captain Thomas Blvd, West Haven, CT 06516 Phone: 203-932-3675 Fax: 203-934-9701 |
Maksim Serebro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 910 Boston Post Rd, West Haven, CT 06516 Phone: 203-934-3400 |
Dr. Jason Tartagni, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 369 Main St, West Haven, CT 06516 Phone: 203-931-3052 |
Richmond Hung, Dentist Medicare: Medicare Enrolled Practice Location: 655 Sawmill Rd, West Haven, CT 06516 Phone: 203-932-5818 Fax: 203-933-6432 |
Dr. Raman Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 145 Boston Post Rd, West Haven, CT 06516 Phone: 203-889-0278 |
Michael R Margolies, Dentist Medicare: Medicare Enrolled Practice Location: 655 Saw Mill Rd, West Haven, CT 06516 Phone: 203-932-5818 Fax: 203-933-6432 |
Dr. Robert John Ruby Jr., D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1000 Orange Avenue, West Haven, CT 06516 Phone: 203-933-8899 Fax: 203-933-8899 |