Individual
JEFFREY NOBLE BERNDT
Active
Individual
JEFFREY NOBLE BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125277
L & I
WA
01
—
5031380
CHPW
WA
05
—
5031380
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
10/05/2006
Last updated
08/05/2010
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