Michael Nikolay Berezhkov
Dental Assistant
1 Boone Rd
Bremerton
, Washington 98312-1894
Michael Nikolay Berezhkov
Dental Assistant
1 Boone Rd
Bremerton
, Washington 98312-1894
(425) 304-4092
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Michael Nikolay Berezhkov
- 1 Boone Rd
- Bremerton, WA
- Zip : 98312-1894
- Phone : (425) 304-4092
Second Address
- Michael Nikolay Berezhkov
- 1 Boone Rd
- Bremerton, WA
- Zip : 98312-1894
- Phone : (425) 304-4092
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Is Michael Nikolay Berezhkov a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1003331174 |
|---|---|
| Provider Name | Michael Nikolay Berezhkov |
| First Address | Bremerton, WA 98312-1894 |
| Second Address | Bremerton, WA 98312-1894 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2017 |
| Last Update Date | 09/08/2017 |
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.