Shane Daniel Bergo in Fort Collins - Endodontics
Shane Daniel Bergo - NPI 1023137122
Shane Daniel Bergo is a Endodontics in Fort Collins, Colorado. Shane Daniel Bergo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Shane Daniel Bergo is 1023137122. The last update date is 2007-08-08.
Shane Daniel Bergo's current location address is 3744 S Timberline Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702291404. The mailing address for Shane Daniel Bergo is 3744 S Timberline Rd, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Daniel Bergo |
|---|---|
| Address | 3744 S Timberline Rd, Fort Collins, Colorado |
| Phone Number | 9702291404 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1023137122 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 3744 S Timberline Rd |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805254333 |
| Phone Number | 9702291404 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 7256 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Shane Daniel Bergo by the Centers for Medicare & Medicaid Services?
The Shane Daniel Bergo has been issued the NPI (National Provider Identifier) 1023137122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shane Daniel Bergo's physical address?
The Shane Daniel Bergo is physically located at 3744 S Timberline Rd, in the city of Fort Collins, CO, with the postal code 805254333.
What is the Shane Daniel Bergo's area of specialization and corresponding taxonomy classification?
The Shane Daniel Bergo's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1023137122 to Shane Daniel Bergo?
The Centers for Medicare & Medicaid Services assigned the 1023137122 to Shane Daniel Bergo on 2007-03-28.
When was the information related to Shane Daniel Bergo most recently updated or refreshed?
The details pertaining to the Shane Daniel Bergo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-08.