Dr Russell Berry DDS PA
NPI #1518079177 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1518079177
- Entity Type
- Organization
- Organization Name
- Dr Russell Berry DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1220 N DIVISION ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-2307
- Phone
- (870) 633-4219
Authorized Official
- Name
- DR. JOHN R BERRY, DDS PA
- Title
- PRESIDENT DENTIST
- Phone
- (870) 633-4219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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