Individual
JOSHUA BERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
38TH STREET BLDG 38717, US ARMY DENTAL ACTIVITY, FORT GORDON, GA 30905-4704
(706) 787-6927
(706) 787-2082
Mailing address
38TH STREET BLDG 38717, US ARMY DENTAL ACTIVITY, FORT GORDON, GA 30905
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9461
KY
Other
Enumeration date
07/28/2014
Last updated
06/04/2015
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