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MAIA BERGER D.D.S. P.C. NPI 1093122517


NPI Information

NPI: 1093122517
Provider Name: MAIA BERGER, D.D.S. P.C.

Doing Business As: COLISEUM DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1841 BROADWAY
SUITE 609
NEW YORK, NY
ZIP 10023
Phone: (212) 757-3183
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MAIA BERGER, D.D.S. P.C. is a general practice dentist in New York, NY. 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. MAIA BERGER, D.D.S. P.C. NPI is 1093122517. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coliseum Dental.

The provider's business location address is:

1841 BROADWAY
SUITE 609
NEW YORK, NY
ZIP 10023-603
Phone: (212) 757-3183

The provider's authorized official is Maia Berger .
The authorized official title is Dentist and has the following contact phone number (212) 757-3183.

The enumeration date for this NPI number is 7/16/2014 and was last updated on 7/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice051386NEW YORKYes

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: 11/14/2023

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