Bergey, David Alan

Bergey, David Alan is an individual health care provider with primary practice located at 550 3Rd Ave Suite#1, Kingston PA 18704-5806. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bergey, David Alan can be contacted via phone (570) 288-9070.

Contact Information

Primary practice address
550 3Rd Ave Suite#1 Kingston PA 18704-5806
Phone: (570) 288-9070
Fax: (570) 288-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS025437L Pennsylvania

Profile Details

NPI number 1386618643
LBN Legal business name Bergey, David Alan
Credentials D.D.S.01
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 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 1386618643 NPPES
Pennsylvania Other 407114 BLUE SHIELD MEDICAL
Pennsylvania Other 077001 BLUE SHIELD MEDICAL

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