Berger, Shane Terryl

Berger, Shane Terryl is an sole proprietor health care provider with primary practice located at 1010 N Elm St Ste A , Denton TX 76201-6905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Berger, Shane Terryl can be contacted via phone (940) 566-1828.

Contact Information

Primary practice address
1010 N Elm St Ste A Denton TX 76201-6905
Fax: (940) 566-3915
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19353 Texas

Profile Details

NPI number 1447365853
LBN Legal business name Berger, Shane Terryl
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447365853 NPPES
Texas Other D19353 BCBS TX PROVIDER ID #
Texas Other 19353 BCBS TX PROVIDER ID #

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