Organization
BERKSHIRE DENTAL HEALTH PC
Active
Other names
Berkshire Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS DERMODY DMD (OWNER/DENTIST)
(413) 358-3923
Entity
Organization
Contact information
Practice address
553 TYLER ST, PITTSFIELD, MA 01201-4378
(413) 448-8909
Mailing address
553 TYLER ST, PITTSFIELD, MA 01201-4378
(413) 448-8909
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN1858785
MA DENTAL LICENSE
MA
Enumeration date
12/26/2021
Last updated
12/26/2021
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