Keith Robert Chertok, DDS

Periodontics · Berkeley, CA

Individual Active NPI

NPI number 1427077973

Practice location

2620 Ashby Ave Ste 101
Berkeley, CA 94705-2208
Phone
(510) 548-0150
Fax
(510) 548-0156

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NPI record

NPI
1427077973
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 38634 CA

About Dr. Chertok

Keith Robert Chertok, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 2620 Ashby Ave Ste 101, Berkeley, CA 94705-2208. The NPI number 1427077973 was assigned on July 18, 2006 and the record was last updated on July 8, 2007.

Dr. Chertok lists a license in the registry: #38634 (CA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Robert Chertok, DDS?

The NPI number is 1427077973.

What is the phone number of Dr. Chertok?

The phone number listed for the practice location is (510) 548-0150.

Where is Dr. Chertok located?

2620 Ashby Ave Ste 101, Berkeley, CA 94705-2208.

What is the taxonomy code for Dr. Chertok?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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