Bergren, Alexa
Bergren, Alexa is an individual health care provider with primary practice located at 4175 S Alamo Ave , Davis-Monthan Afb AZ 85707. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Bergren, Alexa can be contacted via phone (520) 228-2650.Contact Information
Primary practice address
4175 S Alamo Ave
Davis-Monthan Afb AZ 85707
Phone: (520) 228-2650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 61602 | Kansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1083277974 |
|---|---|
| LBN Legal business name | Bergren, Alexa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Feb 14th, 2022 - about 4 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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