Gary L Bergh DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7659 Issued in MN

Legal business name

GARY L BERGH DDS, PA

Practice address

7555 Cloman Way
Inver Grove Heights, MN 55076-3103

Phone

(651) 455-2644

Fax

(651) 455-2979

NPI assigned

Oct 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary L. Bergh, DDSNPI 1477566263

Title

Dentist

Phone

(651) 455-2644

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Loy Bergh, DDS

  • General Practice Dentistry
  • Inver Grove HTS., MN
  • NPI 1477566263
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346320595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 CLOMAN WAY",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550763103",
            "telephone_number": "651-455-2644",
            "fax_number": "651-455-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 CLOMAN WAY",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550763103",
            "telephone_number": "651-455-2644",
            "fax_number": "651-455-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L BERGH DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-455-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Gabriel, LICSW
• Lonnie R Gabrielson, PHARMD
• Sean Gallagher, MD
• Amanda Marie Gallahue
• Luke Alan Gare
• Gateway Recovery Center, LLC
• Sarah Gifford, CCC-SLP
• Vanessa Diramos Gil, M.D.
• Daniel Harold Glenn, D.D.S.
• David Charles Goebel, MD

• General Practice Dentistry in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.