DR. WILLIAM FREDERICK BERGERON DDS NPI 1295755296

NPI Information

  • NPI: 1295755296
  • Provider Name: DR. WILLIAM FREDERICK BERGERON, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 W 16TH AVE
    SUITE 203
    ANCHORAGE, AK
    ZIP 99501
  • Phone: (907) 561-1430

Map and Directions

Get Directions

NPI Details

DR. William Frederick Bergeron, DDS is an oral and maxillofacial surgery dentist in Anchorage, AK. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. William Frederick Bergeron, DDS NPI is 1295755296. 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:

111 W 16TH AVE
SUITE 203
ANCHORAGE, AK
ZIP 99501-206
Phone: (907) 561-1430
Fax: (907) 561-2697

The NPI 1295755296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/10/2008.

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
1122300000XDentist1103ALASKANo
2122300000XDentist9566MARYLANDNo
31223S0112XDentistOral and Maxillofacial Surgery133ALASKAYes

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
1DD74731MEDICAIDALASKA
21746707OTHERUNITED CONCORDIA
3DD74733MEDICAIDALASKA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI