Gerald Ray Berg is a Dentist in Midvale, Utah. Gerald Ray Berg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gerald Ray Berg is 1598783615. The last update date is 2007-07-08.
Gerald Ray Berg's current location address is 7001 S 900 E, Midvale, Utah. You can contact this provider via phone number 8015610061 and fax number 8012555664. The mailing address for Gerald Ray Berg is 7001 S 900 E, Midvale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Ray Berg |
|---|---|
| Address | 7001 S 900 E, Midvale, Utah |
| Phone Number | 8015610061 |
| Fax Number | 8012555664 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1598783615 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7001 S 900 E |
|---|---|
| City | Midvale |
| State | Utah (UT) |
| Post Code | 840471718 |
| Phone Number | 8015610061 |
| Fax Number | 8012555664 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 135600-9922 |
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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 identification code assigned to Gerald Ray Berg by the Centers for Medicare & Medicaid Services?
The Gerald Ray Berg has been issued the NPI (National Provider Identifier) 1598783615, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gerald Ray Berg?
The Gerald Ray Berg is physically situated at 7001 S 900 E, in the city of Midvale, state of UT, with the postal code 840471718.
What is Gerald Ray Berg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gerald Ray Berg is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Gerald Ray Berg receive its 1598783615 assignment from the Centers for Medicare & Medicaid Services?
The Gerald Ray Berg was assigned its 1598783615 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information related to Gerald Ray Berg most recently updated or refreshed?
The details pertaining to the Gerald Ray Berg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.