Bergstrom, Jennifer Williams

Bergstrom, Jennifer Williams is an individual health care provider with primary practice located at 5000 W National Ave , Milwaukee WI 53295-3098. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Bergstrom, Jennifer Williams can be contacted via phone (414) 384-2000.

Contact Information

Primary practice address
5000 W National Ave Milwaukee WI 53295-3098
Phone: (414) 384-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10925 Oregon
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 8426620 Wisconsin
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 600175115 Wisconsin

Profile Details

NPI number 1386277507
LBN Legal business name Bergstrom, Jennifer Williams
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2020
Last updated Aug 3rd, 2025 - about last year

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 1386277507 NPPES
Oregon MEDICAID 1386277507

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