Provider Demographics
NPI:1215080841
Name:BERRY, KARY LYNN (DDS)
Entity type:Individual
Prefix:
First Name:KARY
Middle Name:LYNN
Last Name:BERRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S ALBION ST #1008
Mailing Address - Street 2:1008
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4047
Mailing Address - Country:US
Mailing Address - Phone:303-691-0267
Mailing Address - Fax:303-691-0268
Practice Address - Street 1:1660 S ALBION ST #1008
Practice Address - Street 2:1008
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4047
Practice Address - Country:US
Practice Address - Phone:303-691-0267
Practice Address - Fax:303-691-0268
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice