Individual
STEFANI BERRY
Active
Individual
STEFANI BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058482-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058482-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699158923
DENTIST
NY
Enumeration date
07/06/2015
Last updated
03/16/2026
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