Provider Demographics
NPI:1447343991
Name:BERMAN, CAROLINE (DMD, PA)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:BERMAN
Suffix:
Gender:F
Credentials:DMD, PA
Other - Prefix:DR
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 12TH STREET NW SUITE L-300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004
Mailing Address - Country:US
Mailing Address - Phone:202-783-3368
Mailing Address - Fax:202-783-3361
Practice Address - Street 1:555 12TH STREET NW SUITE L-300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004
Practice Address - Country:US
Practice Address - Phone:202-783-3368
Practice Address - Fax:202-783-3361
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10005731223G0001X
FLDN16895122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist