Bergthold, Marissa
Bergthold, Marissa is an sole proprietor health care provider with primary practice located at 7701 W 119Th St , Overland Park KS 66213-1103. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Bergthold, Marissa can be contacted via phone (913) 529-5999.Contact Information
Primary practice address
7701 W 119Th St
Overland Park KS 66213-1103
Phone: (913) 529-5999
Fax: (913) 529-5995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 62193 | Kansas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2024026317 | Missouri |
Profile Details
| NPI number | 1265920086 |
|---|---|
| LBN Legal business name | Bergthold, Marissa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2018 |
| Last updated | Jul 11th, 2024 - about 4 months 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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