Berg, Ronald

Berg, Ronald is an individual health care provider with primary practice located at 3 Dillon Road , Monticello NY 12701. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berg, Ronald can be contacted via phone (845) 794-5454.

Contact Information

Primary practice address
3 Dillon Road Monticello NY 12701
Phone: (845) 794-5454
Fax: (845) 794-5458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 24363 New York

Profile Details

NPI number 1013925478
LBN Legal business name Berg, Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013925478 NPPES
New York MEDICAID 00501533

Popular Providers