Diantha Joan Berg in Tacoma - General Practice

Diantha Joan Berg - NPI 1598806697

Diantha Joan Berg is a General Practice in Tacoma, Washington. Diantha Joan Berg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Diantha Joan Berg is 1598806697. The last update date is 2015-11-12.

Diantha Joan Berg's current location address is 1019 Pacific Ave Ste 300, Tacoma, Washington. You can contact this provider via phone number 2535974550 and fax number 2535974556. The mailing address for Diantha Joan Berg is 1019 Pacific Ave Ste 300, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Diantha Joan Berg
Address 1019 Pacific Ave Ste 300, Tacoma, Washington
Phone Number 2535974550
Fax Number 2535974556
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1598806697
Provider Enumeration Date 2007-02-09
Last Updated Date 2015-11-12

Provider Mailing Address Detail

Address 1019 Pacific Ave Ste 300
City Tacoma
State Washington (WA)
Post Code 984024488
Phone Number 2535974550
Fax Number 2535974556

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00006194
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6017 WA DSHS PROVIDER ID
DE00006194 WA DENTIST LICENSE

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FAQs about Diantha Joan Berg

What is the unique 10-digit identification code assigned to Diantha Joan Berg by the Centers for Medicare & Medicaid Services?

The Diantha Joan Berg has been issued the NPI (National Provider Identifier) 1598806697, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Diantha Joan Berg is physically located?

The Diantha Joan Berg is situated at the following address: 1019 Pacific Ave Ste 300, Tacoma, WA 984024488.

What is Diantha Joan Berg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Diantha Joan Berg is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date was the 1598806697 assigned to Diantha Joan Berg?

The Diantha Joan Berg was issued its 1598806697 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Diantha Joan Berg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Diantha Joan Berg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-12.

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