Individual
DR. DANIELLE PAIGE BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(760) 725-8882
(760) 725-1267
Mailing address
6 TERRACE LN, SMITHTOWN, NY 11787-3706
(631) 872-5240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1856324
MA
1223P0221X
Pediatric Dentistry
Primary
1856324
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124450028
—
MA
Enumeration date
08/01/2013
Last updated
10/26/2023
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