Individual
DR. MICHELLE NICOLE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
ABERDEEN PROVING GROUND DENTAL CLINIC, 6455 MACHINE STREET, BUILDING 2501, ABERDEEN PROVING GROUND, MD 21005
(410) 278-1795
Mailing address
123 BERRY ROAD, WAYNE, ME 04284-3124
(207) 242-6506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4551
ME
124Q00000X
Dental Hygienist
LAN458
ME
124Q00000X
Dental Hygienist
NOX790
ME
124Q00000X
Dental Hygienist
RDH3596
ME
Other
Enumeration date
05/20/2009
Last updated
06/13/2022
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