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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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