Provider Demographics
NPI:1285432666
Name:JEFFREY M BERLIN DMD LLC
Entity type:Organization
Organization Name:JEFFREY M BERLIN DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:440-840-4362
Mailing Address - Street 1:2440 BEACHWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1547
Mailing Address - Country:US
Mailing Address - Phone:440-840-4362
Mailing Address - Fax:440-840-4362
Practice Address - Street 1:3641 LANDER RD
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124-5730
Practice Address - Country:US
Practice Address - Phone:216-464-7654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry