Berg, Gregory Todd

Berg, Gregory Todd is an individual health care provider with primary practice located at 1325 Queens Ct Suite A, St Peters MO 63376-7375. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Berg, Gregory Todd can be contacted via phone (636) 928-6000.

Contact Information

Primary practice address
1325 Queens Ct Suite A St Peters MO 63376-7375
Phone: (636) 928-6000
Fax: (636) 928-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 015328 Missouri

Profile Details

NPI number 1942260575
LBN Legal business name Berg, Gregory Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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