DR. SHANE DANIEL BERGO D.D.S. M.S.D. NPI 1023137122

NPI Information

NPI: 1023137122
Provider Name: DR. SHANE DANIEL BERGO, D.D.S., M.S.D.
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
730 WHALERS WAY
SUITE 300
FORT COLLINS, CO
ZIP 80525
Phone: (970) 229-1404
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DR. Shane Daniel Bergo, D.D.S., M.S.D. is an endodontics dentist in Fort Collins, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Shane Daniel Bergo, D.D.S., M.S.D. NPI is 1023137122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

730 WHALERS WAY
SUITE 300
FORT COLLINS, CO
ZIP 80525-585
Phone: (970) 229-1404
Fax: (970) 229-1422

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	7256	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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