Aaron Berger, DDS

Individual provider Active NPI General Practice Dentistry · Springfield, OR

NPI 1700550340 · NPPES record last updated Aug 6, 2021

Key facts

NPI
1700550340
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
D11490 (OR)
Practice address
2820 Gateway St Ste Mt110
Springfield, OR 97477-7754
Phone
(541) 747-9400
NPI assigned
Aug 6, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D11490ORMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11490 OR Yes

Addresses

Primary practice location

2820 Gateway St Ste Mt110
Springfield, OR 97477-7754

Mailing address

2820 Gateway St Ste Mt110
Springfield, OR 97477-7754

Other providers in Springfield, OR

All providers in Springfield, OR · General Practice Dentistry in Oregon

Sources for this page

Verify at the official NPI Registry.