Berger, Donald Roy

Berger, Donald Roy is an sole proprietor health care provider with primary practice located at 140 Inverness Dr , Blue Bell PA 19422-3202. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Berger, Donald Roy can be contacted via phone (215) 896-7448.

Contact Information

Primary practice address
140 Inverness Dr Blue Bell PA 19422-3202
Phone: (215) 896-7448
Fax: (610) 275-4103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22DI01053700 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X DS017607L Pennsylvania

Profile Details

NPI number 1578561130
LBN Legal business name Berger, Donald Roy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Mar 29th, 2012 - about 13 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 1578561130 NPPES
Pennsylvania MEDICAID 01766050

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