Berger, Clifford Jens

Berger, Clifford Jens is an individual health care provider with primary practice located at 4815 Paulsen St , Savannah GA 31405-4418. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berger, Clifford Jens can be contacted via phone (912) 352-2324.

Contact Information

Primary practice address
4815 Paulsen St Savannah GA 31405-4418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 008114 Georgia

Profile Details

NPI number 1518971969
LBN Legal business name Berger, Clifford Jens
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518971969 NPPES
Georgia MEDICAID 00044459A

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