JEREMY BERGER DDS PLLC NPI 1770228983

NPI Information

  • NPI: 1770228983
  • Provider Name: JEREMY BERGER DDS PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 424 W 5TH ST STE 1
    RED WING, MN
    ZIP 55066
  • Phone: (651) 388-5492

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NPI Details

JEREMY BERGER DDS PLLC is a dental clinic center in Red Wing, MN. JEREMY BERGER DDS PLLC NPI is 1770228983. The provider is registered as an organization entity type.

The provider's business location address is:

424 W 5TH ST STE 1
RED WING, MN
ZIP 55066-523
Phone: (651) 388-5492

The provider's authorized official is Jeremy Scott Berger .
The authorized official title is Sole Member and has the following contact phone number (612) 720-3154.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.

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
1261QD0000XClinic/CenterDentalYes

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

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