Lina Maria Bermudez
Dentist - General Practice
343 Main Street
Great Barrington
, Massachusetts 01230
Lina Maria Bermudez
Dentist - General Practice
343 Main Street
Great Barrington
, Massachusetts 01230
(413) 644-0274
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Lina Maria Bermudez
- P.o. Box 30
- Great Barrington, MA
- Zip : 01230
- Fax : (413) 644-0274
- Phone : (413) 528-9311
Second Address
- Lina Maria Bermudez
- 343 Main Street
- Great Barrington, MA
- Zip : 01230
- Fax : (413) 528-5564
- Phone : (413) 528-5565
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 10558 | MA |
| N | 213EG0000X | General Practice | 10558 | MA |
| Y | 1223G0001X | General Practice | DL13088 | MA |
| Y | 213EG0000X | General Practice | DL13088 | MA |
National Provider Identifier
| NPI | 1003058488 |
|---|---|
| Provider Name | Lina Maria Bermudez |
| First Address | Great Barrington, MA 01230 |
| Second Address | Great Barrington, MA 01230 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2009 |
| Last Update Date | 21/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110114758A | (05) | MA |
| DL10558 | MASSACHUSETTS LICENSE (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.