DR. DANIEL MICHAEL BERGERON DDS NPI 1083789804

NPI Information

NPI: 1083789804
Provider Name: DR. DANIEL MICHAEL BERGERON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3112 AIRPORT WAY
SUITE 2
FAIRBANKS, AK
ZIP 99709
Phone: (907) 456-5600
Get Directions

DR. Daniel Michael Bergeron, DDS is a general practice dentist in Fairbanks, AK. The provider is 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. DR. Daniel Michael Bergeron, DDS NPI is 1083789804. 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:

3112 AIRPORT WAY
SUITE 2
FAIRBANKS, AK
ZIP 99709-754
Phone: (907) 456-5600
Fax: (907) 451-6470

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/8/2007.

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	1223G0001X	Dentist	General Practice	819	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DD0819	MEDICAID	ALASKA
2	822825	OTHER	ALASKA	TRICARE

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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