Bergien, Tyler Paul

Bergien, Tyler Paul is an sole proprietor health care provider with primary practice located at 945 W Broadway Suite #201, Jackson WY 83001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bergien, Tyler Paul can be contacted via phone (307) 734-5200.

Contact Information

Primary practice address
945 W Broadway Suite #201 Jackson WY 83001
Fax: (307) 733-2922
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X #1004 Wyoming

Profile Details

NPI number 1669683025
LBN Legal business name Bergien, Tyler Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 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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