# BERLEY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Berley Dental LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346850690
- **Authorized official:** CHAD HENDRICKS (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 1205 HWY 35, OCEAN, NJ 07712-4077
- **Practice address phone:** (732) 531-8020
- **Mailing address:** 1205 HWY 35, OCEAN, NJ 07712-4077
- **Mailing address phone:** (732) 531-8020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 08/02/2020
- **Last updated:** 08/02/2020