Active NPIIndividual provider

Junior Bertho Vertil, DMD

Dentist in Spring Valley, New York

NPI Number1578710752
Practice location
57 E Eckerson RD, Spring Valley, NY 10977-3014
Fax
—
Last updated
October 1, 2010

Junior Bertho Vertil is a Dentist based in Spring Valley, NY. Junior Bertho Vertil practices in Spring Valley, NY and has the professional credentials of DMD. The NPI Number for Junior Bertho Vertil is 1578710752 and holds a License No. 22DI02375300 (NJ). The current practice location address for Junior Bertho Vertil is 57 E Eckerson RD, Spring Valley, NY 10977-3014 and can be reached out via phone at 845-426-2569.

Provider Profile Details

NPI Number
1578710752
Provider Name
Junior Bertho Vertil
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
57 E Eckerson RD, Spring Valley, NY 10977-3014
Phone Number
845-426-2569
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2008
Last Update Date
October 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 E Eckerson RD
Spring Valley, NY 10977-3014
Zip
10977-3014
Phone Number
845-426-2569
Spring Valley, NY 10977Get directions →

Provider Business Mailing Address Details

Address
142 Hillside Ter
Irvington, NJ 07111-1514
City
Irvington
State
NJ
Zip
07111-1514

License Information

License Number (1)
22DI02375300
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
054844-1
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Junior Bertho Vertil, DMD?

The NPI number of Junior Bertho Vertil, DMD is 1578710752. It was assigned on August 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Junior Bertho Vertil, DMD?

Junior Bertho Vertil, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02375300.

Where does Junior Bertho Vertil, DMD practice?

The practice location is 57 E Eckerson RD, Spring Valley, NY 10977-3014. The office can be reached at 845-426-2569 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578710752 directly on the NPPES registry website.

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