Berg, Randy J

Berg, Randy J is an individual health care provider with primary practice located at 1245 15Th St N , St Cloud MN 56303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berg, Randy J can be contacted via phone (320) 253-5824.

Contact Information

Primary practice address
1245 15Th St N St Cloud MN 56303
Phone: (320) 253-5824
Fax: (320) 203-2076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8993 Minnesota

Profile Details

NPI number 1194836957
LBN Legal business name Berg, Randy J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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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