Bergman, Robert T

Bergman, Robert T is an sole proprietor health care provider with primary practice located at 400 Mobil Ave Ste C1 , Camarillo CA 93010-6377. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bergman, Robert T can be contacted via phone (805) 482-7284.

Contact Information

Primary practice address
400 Mobil Ave Ste C1 Camarillo CA 93010-6377
Phone: (805) 482-7284
Fax: (805) 482-5196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D21237 California

Profile Details

NPI number 1043407422
LBN Legal business name Bergman, Robert T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2007
Last updated Feb 25th, 2014 - about 11 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 1043407422 NPPES
California Other B21237-01 DENTI-CAL

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