IndividualActive
Christian Berdy, DDS,MS
NPI 1396765889 · Periodontics · Jacksonville, FL
Provider details
- NPI number
- 1396765889
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS,MS
- Sex
- Male
- Sole proprietor
- No
- License
- DN 5959 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1511 Stockton St
Jacksonville, FL 32204-4521
Phone: (904) 389-1376
Fax: (904) 386-1522
Approximate (ZIP-level) locationGet directions
Mailing address
1511 Stockton St
Jacksonville, FL 32204-4521
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.