Individual provider · Type 1 NPI

Kyle Nathaniel Berrong, DDS

Oral and Maxillofacial Surgery (Dentist) · Bethesda, MD

NPI number 1609229103 Active

Practice location

8901 Wisconsin Ave Omfs Clinic Bldg 9, 2nd Deck Rm 2505
Bethesda, MD 20889-6122

Mailing address

1413 Lincolnshire Dr
Maryville, TN 37803-7702

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10250 (TN)
Military Health Care Provider 171000000X10250 (TN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609229103

Kyle Nathaniel Berrong, DDS's National Provider Identifier is 1609229103, issued on Jul 20, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bethesda, MD. The record was last updated on Jul 5, 2026.