Individual
MR. JEFFREY M BERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MAGD
Contact information
Practice address
2415 CENTRAL PARKWAY, SUITE B, MONTGOMERY, AL 36106
(334) 409-9490
(334) 409-9492
Mailing address
2415 CENTRAL PARKWAY, SUITE B, MONTGOMERY, AL 36106
(334) 409-9490
(334) 409-9492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3653
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51090443
BLUE CROSS BLUE SHILED
AL
01
—
624734
UNITED CONCORDIA
AL
01
—
JMBERN43
CIGNA
AL
01
—
MONALA
METLIFE
AL
Enumeration date
10/11/2006
Last updated
11/07/2011
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