Bergeron, William Frederick

Bergeron, William Frederick is an individual health care provider with primary practice located at 111 W 16Th Ave Suite 203, Anchorage AK 99501-6206. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Bergeron, William Frederick can be contacted via phone (907) 561-1430.

Contact Information

Primary practice address
111 W 16Th Ave Suite 203 Anchorage AK 99501-6206
Phone: (907) 561-1430
Fax: (907) 561-2697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1103 Alaska
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 133 Alaska
Dental Providers / Dentist 122300000X 9566 Maryland

Profile Details

NPI number 1295755296
LBN Legal business name Bergeron, William Frederick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 10th, 2008 - about 16 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

Identifiers

StateTypeNumberIssuer
All States NPI 1295755296 NPPES
Other 1746707 UNITED CONCORDIA
MEDICAID DD74733 UNITED CONCORDIA
MEDICAID DD74731 UNITED CONCORDIA

Popular Providers