Organization
BERKS ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MICHAEL HARTMAN D.M.D., M.S. (PRESIDENT/ORTHODONTIST)
(610) 334-3278
Entity
Organization
Contact information
Practice address
5318 ALLENTOWN PIKE, TEMPLE, PA 19560-1249
(610) 223-7777
Mailing address
5318 ALLENTOWN PIKE, TEMPLE, PA 19560-1249
(610) 223-7777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038055
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023923970001
—
PA
Enumeration date
03/28/2012
Last updated
03/28/2012
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