Berg, Matthew Douglas

Berg, Matthew Douglas is an individual health care provider with primary practice located at 2193 Silver Lake Rd Nw , New Brighton MN 55112-5331. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Berg, Matthew Douglas can be contacted via phone (651) 235-9227.

Contact Information

Primary practice address
2193 Silver Lake Rd Nw New Brighton MN 55112-5331
Phone: (651) 235-9227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11937 Minnesota

Profile Details

NPI number 1679592141
LBN Legal business name Berg, Matthew Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 20th, 2008 - about 18 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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