James Edward Berg is a Dentist in Ypsilanti, Michigan. James Edward Berg practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Edward Berg is 1366628406. The last update date is 2016-02-04.
James Edward Berg's current location address is 1974 N Huron River Dr, Ypsilanti, Michigan. You can contact this provider via phone number 7344824658 and fax number 7344820233. The mailing address for James Edward Berg is 1974 N Huron River Dr, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edward Berg |
|---|---|
| Address | 1974 N Huron River Dr, Ypsilanti, Michigan |
| Phone Number | 7344824658 |
| Fax Number | 7344820233 |
| Sole Proprietor | Y |
| Credentials | D.D.S. M.S |
NPI Number Detail
| NPI Number | 1366628406 |
|---|---|
| Provider Enumeration Date | 2008-01-19 |
| Last Updated Date | 2016-02-04 |
Provider Mailing Address Detail
| Address | 1974 N Huron River Dr |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481971654 |
| Phone Number | 7344824658 |
| Fax Number | 7344820233 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11528 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to James Edward Berg by the Centers for Medicare & Medicaid Services?
The James Edward Berg has been issued the NPI (National Provider Identifier) 1366628406 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where James Edward Berg is located?
The James Edward Berg is situated at the following address: 1974 N Huron River Dr, Ypsilanti, MI, 481971654.
What is James Edward Berg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James Edward Berg's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366628406 to James Edward Berg?
The Centers for Medicare & Medicaid Services originally issued the 1366628406 to James Edward Berg on 2008-01-19.
As of what date were the James Edward Berg's details last updated?
The information pertaining to the James Edward Berg, including its address, specialty, and other details, was most recently updated on 2016-02-04.
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