Randy J. Berg, DDS

General Practice Dentistry · St Cloud, MN

Individual Active NPI

NPI number 1194836957

Practice location

1245 15TH St N
St Cloud, MN 56303
Phone
(320) 253-5824
Fax
(320) 203-2076

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NPI record

NPI
1194836957
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8993 MN

Mailing address

Mail Code 21113a
PO Box 1309
Minneapolis, MN 55440-1309
Phone
(952) 883-5151
Fax
(952) 883-5160

About Dr. Berg

Randy J. Berg, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1245 15TH St N, St Cloud, MN 56303. The NPI number 1194836957 was assigned on August 31, 2006 and the record was last updated on July 8, 2007.

Dr. Berg lists a license in the registry: #8993 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randy J. Berg, DDS?

The NPI number is 1194836957.

What is the phone number of Dr. Berg?

The phone number listed for the practice location is (320) 253-5824.

Where is Dr. Berg located?

1245 15TH St N, St Cloud, MN 56303.

What is the taxonomy code for Dr. Berg?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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