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Organization
BERKSHIRE DENTAL HEALTH PC
Active
Organization
BERKSHIRE DENTAL HEALTH PC
Active
Other names
Berkshire Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS DERMODY DMD (OWNER/DENTIST)
(413) 358-3923
Entity
Organization
Contact information
Practice address
553 TYLER ST, PITTSFIELD, MA 01201-4378
(413) 448-8909
Mailing address
553 TYLER ST, PITTSFIELD, MA 01201-4378
(413) 448-8909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1858785
MA DENTAL LICENSE
MA
Enumeration date
12/26/2021
Last updated
12/26/2021
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