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Deactivated NPI 1962550475 Deactivated / Inactive NPI Male Practitioner

Dr. Berkeley Miller Pemberton , DDS

Dentist - General Practice • Staunton, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Berkeley Pemberton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date July 02, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Berkeley Pemberton, DDS was a registered Dentist - General Practice practicing in Staunton, VA. Throughout an active medical career spanning 19 years, Dr. Pemberton provided care at the practice location at 208 HILL HAVEN LN until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

208 Hill Haven Ln

Staunton, VA 244016455

Telephone 5408865571

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Staunton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Staunton, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401004141

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

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Updated Practice Location August 23, 2019

Registered at 1380 LITTLE SORRELL DR STE 100, HARRISONBURG, VA 228017372 (Tel: 5404373962)

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Updated Business Mailing Address August 23, 2019

Registered at 1380 LITTLE SORRELL DR STE 100, HARRISONBURG, VA 228017372 (Tel: 5404373962)

NPI Profile Active March 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2010

Registered at 208 HILL HAVEN LN, STAUNTON, VA 244016455 (Tel: 5408865571)

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Updated Business Mailing Address March 11, 2010

Registered at 208 HILL HAVEN LN, STAUNTON, VA 244016455 (Tel: 5408865571)

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Provider Name / Credentials Updated March 11, 2010

Recorded as BERKELEY PEMBERTON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2010

Dentist (License #0401004141 in VA)

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Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962550475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: March 11, 2010
Deactivation Date: July 02, 2026

Mailing Address

208 Hill Haven Ln

Staunton, VA 244016455

Phone: 5408865571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.