Berg, Tanner
Berg, Tanner is an individual health care provider with primary practice located at 5350 S Robert Trl , Inver Grove Heights MN 55077-1404. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Berg, Tanner can be contacted via phone (651) 450-9579.Contact Information
Primary practice address
5350 S Robert Trl
Inver Grove Heights MN 55077-1404
Phone: (651) 450-9579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D14444 | Minnesota |
| Dental Providers / General Practice | 1223G0001X | D14444 | Minnesota |
Profile Details
| NPI number | 1295343952 |
|---|---|
| LBN Legal business name | Berg, Tanner |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| Last updated | Jul 20th, 2020 - about 6 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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