STEVEN BERGMAN DMD & CLARK INGOLDSBY DDS PC NPI 1093744674

NPI Information

  • NPI: 1093744674
  • Provider Name: STEVEN BERGMAN, DMD & CLARK INGOLDSBY, DDS, PC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • :
  • Address: 10 FORBES RD
    SUITE 230
    BRAINTREE, MA
    ZIP 02184
  • Phone: (781) 843-7905

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NPI Details

STEVEN BERGMAN, DMD & CLARK INGOLDSBY, DDS, PC is a periodontics dentist in Braintree, MA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. STEVEN BERGMAN, DMD & CLARK INGOLDSBY, DDS, PC NPI is 1093744674. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

10 FORBES RD
SUITE 230
BRAINTREE, MA
ZIP 02184-605
Phone: (781) 843-7905
Fax: (781) 356-2388

The provider's authorized official is Steve W Bergman .
The authorized official title is President/dentist and has the following contact phone number (781) 843-7905.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/11/2025.

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
11223G0001XDentistGeneral Practice15349MASSACHUSETTSNo
21223P0300XDentistPeriodontics18388MASSACHUSETTSYes

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: 11/21/2025

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