Berg, Mark S

Berg, Mark S is an individual health care provider with primary practice located at 443 N New Ballas Rd Ste 244, St Louis MO 63141. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Berg, Mark S can be contacted via phone (314) 991-1707.

Contact Information

Primary practice address
443 N New Ballas Rd Ste 244 St Louis MO 63141
Phone: (314) 991-1707
Fax: (314) 991-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 14352 Missouri

Profile Details

NPI number 1134217318
LBN Legal business name Berg, Mark S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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