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DRS. ENGLEHARDT & VANDE BERG DDS PA NPI 1891898060


NPI Information

NPI: 1891898060
Provider Name: DRS. ENGLEHARDT & VANDE BERG, DDS, PA

Doing Business As: DRS. ENGLEHARDT & VANDE BERG, DDS, PA

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1010 HIGH HOUSE RD
SUITE 100
CARY, NC
ZIP 27513
Phone: (919) 461-0110
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DRS. ENGLEHARDT & VANDE BERG, DDS, PA is an oral and maxillofacial surgery dentist in Cary, NC. 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. DRS. ENGLEHARDT & VANDE BERG, DDS, PA NPI is 1891898060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Drs. Englehardt & Vande Berg, Dds, Pa.

The provider's business location address is:

1010 HIGH HOUSE RD
SUITE 100
CARY, NC
ZIP 27513-576
Phone: (919) 461-0110
Fax: (919) 461-0114

The provider's authorized official is Karla W. Grantham .
The authorized official title is Office Manager and has the following contact phone number (919) 461-0110.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryNORTH CAROLINAYes

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: 5/5/2024

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