Provider Demographics
NPI:1427243807
Name:BERKOWITZH, HARRY (DMD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:BERKOWITZH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 NE 204TH ST
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1311
Mailing Address - Country:US
Mailing Address - Phone:305-932-4388
Mailing Address - Fax:
Practice Address - Street 1:3801 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE #205
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6758
Practice Address - Country:US
Practice Address - Phone:954-921-7339
Practice Address - Fax:954-923-1206
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 62921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice