Bergens, Bryan Michael

Bergens, Bryan Michael is an individual health care provider with primary practice located at 724 S Beach St Suite 4, Daytona Beach FL 32114-5441. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bergens, Bryan Michael can be contacted via phone (386) 258-2213.

Contact Information

Primary practice address
724 S Beach St Suite 4 Daytona Beach FL 32114-5441
Phone: (386) 258-2213
Fax: (386) 253-7943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN13806 Florida

Profile Details

NPI number 1942646617
LBN Legal business name Bergens, Bryan Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942646617 NPPES
Florida Other 1487760054 NPI

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