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BERKELEY PROSTHETIC LABORATORY LLC
NPI 1548660053
Dental Laboratory in Moncks Corner, SC

Active since September 03, 2014
216 CAROLINA AVE, MONCKS CORNER, SC 29461(843) 761-6411(843) 719-1189 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Berkeley Prosthetic Laboratory Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERKELEY PROSTHETIC LABORATORY LLC (NPI 1548660053) is a healthcare organization registered as a dental laboratory in Moncks Corner, South Carolina and active in the NPI registry since September 2014. The organization lists Eric Brandon Roberts, Lab Manager, as its authorized official.

NPPES Registry Identity

NPI1548660053
Entity TypeOrganization
Primary Taxonomy292200000X
Legal Business NameBERKELEY PROSTHETIC LABORATORY LLC
Location Address216 CAROLINA AVEMoncks Corner, SC 29461-3785
Mailing Address216 Carolina AveMoncks Corner, SC 29461-3785 · (843) 761-6411 · Fax (843) 719-1189
Phone(843) 761-6411
Fax(843) 719-1189
Organization SubpartNo
Authorized OfficialEric Brandon RobertsLab Manager · (843) 761-6411
Enumeration DateSeptember 3, 2014
✔ NPI 1548660053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental LaboratoryLaboratories
Taxonomy Code292200000X
License✔ Licensed in SC · 555
Definition
A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.
216 CAROLINA AVE, Moncks Corner, SC 29461
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berkeley Prosthetic Laboratory LLC's NPI number?

The NPI number for Berkeley Prosthetic Laboratory LLC is 1548660053. It was assigned to this organization in the NPPES registry on September 3, 2014.

Where is Berkeley Prosthetic Laboratory LLC located?

Berkeley Prosthetic Laboratory LLC is located at 216 Carolina Ave, Moncks Corner, SC 29461. The listed phone number is (843) 761-6411.

What is Berkeley Prosthetic Laboratory LLC's specialty?

The primary specialty registered for this NPI is Dental Laboratory with taxonomy code 292200000X.

When was this NPI record last updated?

The NPPES record for Berkeley Prosthetic Laboratory LLC was last updated on September 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.