Berganske, Shelley Danielle Wade

Berganske, Shelley Danielle Wade is an sole proprietor health care provider with primary practice located at 1380 Peachtree Industrial Blvd Ste 150 , Suwanee GA 30024-3795. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Berganske, Shelley Danielle Wade can be contacted via phone (770) 614-8914.

Contact Information

Primary practice address
1380 Peachtree Industrial Blvd Ste 150 Suwanee GA 30024-3795
Phone: (770) 614-8914
Fax: (770) 614-8917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X DN014966 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN014966 Georgia

Profile Details

NPI number 1922490333
LBN Legal business name Berganske, Shelley Danielle Wade
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2015
Last updated Jul 21st, 2022 - about 3 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

Popular Providers