Individual provider · Type 1 NPI

Jenna Berry

Orthodontics and Dentofacial Orthopedics Dentistry · New York, NY

NPI number 1396445292 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (734) 788-5067 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry 1223G0001X019034613 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X30.028529 (OH)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1396445292

Jenna Berry's National Provider Identifier is 1396445292, issued on Mar 8, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in New York, NY. The record was last updated on Jun 12, 2026.