National Provider Identifier

Celeena Marie Berry

Celeena Marie Berry is listed in the NPPES registry with a primary specialty of Dentist in Albion, NY and a listed phone number of (585) 637-3905.

NPI 1629710611Albion, NYDentist

Profile Overview

NPI
1629710611
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
April 10, 2022
Last Updated
August 09, 2023

Practice Location

  • 362 S Main St
  • Albion, NY 14411-1603

Phone: (585) 637-3905

Mailing Address

  • 300 West Ave
  • Brockport, NY 14420-1118

Specialties

  • Dentist (122300000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1629710611
Entity Type
Individual
Last Name
Berry
First Name
Celeena
Middle Name
Marie
Mailing Street Address
300 West Ave
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-1118
Mailing Country
US
Mailing Phone
(585) 637-3905
Practice Street Address
362 S Main St
Practice City
Albion
Practice State
NY
Practice ZIP Code
14411-1603
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-2375
Enumeration Date
April 10, 2022
Last Updated
August 09, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)