Berg, Richard
Berg, Richard is an individual health care provider with primary practice located at 1181 Old Country Rd Suite 4, Plainview NY 11803-5018. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berg, Richard can be contacted via phone (516) 822-7880.Contact Information
Primary practice address
1181 Old Country Rd Suite 4
Plainview NY 11803-5018
Phone: (516) 822-7880
Fax: (516) 822-5010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 026825-1 | New York |
Profile Details
| NPI number | 1508875907 |
|---|---|
| LBN Legal business name | Berg, Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508875907 | NPPES |
| New York | MEDICAID | 0038659994 |
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