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BERDY DENTAL GROUP
NPI 1851433510
Dentist - Periodontics in Jacksonville, FL

Active since February 12, 2007
1511 STOCKTON ST, JACKSONVILLE, FL 32204(904) 389-1376(904) 389-1522 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Berdy Dental Group NPPES

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

BERDY DENTAL GROUP (NPI 1851433510), doing business as Dr's Scott, Watson, Miller & Berdy, Pa, is a healthcare organization registered as a periodontics in Jacksonville, Florida and active in the NPI registry since February 2007. The organization lists Christian S. Berdy, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1851433510
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBERDY DENTAL GROUP
Location Address1511 STOCKTON STJacksonville, FL 32204-4521
Mailing Address1511 Stockton StJacksonville, FL 32204-4521 · (904) 389-1376 · Fax (904) 389-1522
Phone(904) 389-1376
Fax(904) 389-1522
Organization SubpartNo
Authorized OfficialChristian S. BerdyPeriodontist · (904) 389-1376
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1851433510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · 5959
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
1511 STOCKTON ST, Jacksonville, FL 32204
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Other Names 2

Former Legal Business NameDr's Scott, Watson, Miller & Berdy, Pa
Doing Business AsChristian S. Berdy, Dds

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTIAN SVEN BERDY I DDS,MS
Dentist (Periodontics)
1511 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 389-1376
DR. CARY STEPHEN BERDY D.D.S.
Dentist
1511 STOCKTON ST
JACKSONVILLE, FL 32204
Duval County (904) 389-1376

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 Berdy Dental Group's NPI number?

The NPI number for Berdy Dental Group is 1851433510. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Christian S. Berdy, DDS. The provider was formerly known as Dr's Scott, Watson, Miller & Berdy, PA.

Where is Berdy Dental Group located?

Berdy Dental Group is located at 1511 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 389-1376.

What is Berdy Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Berdy Dental Group was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.