MATTHEW D. BERG D.D.S. P.A. NPI 1063685493

NPI Information

NPI: 1063685493
Provider Name: MATTHEW D. BERG, D.D.S., P.A.

Doing Business As: RICE CREEK DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2193 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 633-3116
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MATTHEW D. BERG, D.D.S., P.A. is a dental clinic center in New Brighton, MN. MATTHEW D. BERG, D.D.S., P.A. NPI is 1063685493. The provider is registered as an organization entity type.
The provider Is Doing Business As Rice Creek Dental.

The provider's business location address is:

2193 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112-331
Phone: (651) 633-3116

The provider's authorized official is Matthew Douglas Berg .
The authorized official title is President and has the following contact phone number (651) 235-9227.

The enumeration date for this NPI number is 4/7/2008 and was last updated on 5/20/2008.

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	261QD0000X	Clinic/Center	Dental	D11937	MINNESOTA	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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