# BERKS ORAL SURGERY LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790710325
- **Authorized official:** MRS. ROBIN LYNN BAST (OFFICE MANAGER)
- **Authorized official phone:** (610) 374-4093

## Contact information

- **Practice address:** 1075 BERKSHIRE BLVD, SUITE 800, WYOMISSING, PA 19610-1264
- **Practice address phone:** (610) 374-4093
- **Mailing address:** 1075 BERKSHIRE BLVD, SUITE 800, WYOMISSING, PA 19610-1264
- **Mailing address phone:** (610) 374-4093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS-017170-L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS-017990-L | PA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS024152-L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS026002-L | PA | — |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 01/12/2009