Berger, Robert Frederick

Berger, Robert Frederick is an sole proprietor health care provider with primary practice located at 5251 Forest Dr , Columbia SC 29206-4920. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berger, Robert Frederick can be contacted via phone (803) 787-9793.

Contact Information

Primary practice address
5251 Forest Dr Columbia SC 29206-4920
Phone: (803) 787-9793
Fax: (803) 738-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1354 South Carolina

Profile Details

NPI number 1922153790
LBN Legal business name Berger, Robert Frederick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1922153790 NPPES
South Carolina MEDICAID Z13548
South Carolina Other SC 1354

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