Beth Karen Berg, OMT
Individual provider Active NPI Dental Hygienist · Watkins, MN
NPI 1992498398 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1992498398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- H9382 (MN)
- Practice address
- 36846 650TH Ave
Watkins, MN 55389-6000 - Phone
- (320) 420-9548
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9382 | MN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist |
124Q00000X | H9382 | MN | Yes |
Addresses
Primary practice location
36846 650TH Ave
Watkins, MN 55389-6000
Mailing address
36846 650TH Ave
Watkins, MN 55389-6000
Phone (320) 420-9548
Other providers in Watkins, MN
All providers in Watkins, MN · Dental Hygienist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.