Individual
JEFFREY NOBLE BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 S ESTES DR, CHAPEL HILL, NC 27514-2868
(919) 933-3310
Mailing address
121 S ESTES DR, CHAPEL HILL, NC 27514-2868
(919) 933-3310
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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