Malcolm R. Berg, D.M.D.

General Practice Dentistry · Luling, TX

Individual Active NPI

NPI number 1396745493

Practice location

409 E Crockett St
Luling, TX 78648-2601
Phone
(830) 875-3521
Fax
(830) 875-2212

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NPI record

NPI
1396745493
Entity type
Individual (Type 1)
Enumeration date
July 29, 2005
Last updated
June 9, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17463 TX

Mailing address

3601 Leadville Dr
Austin, TX 78749-6938
Phone
(512) 291-0230
Fax
(512) 291-0287

About Dr. Berg

Malcolm R. Berg, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 409 E Crockett St, Luling, TX 78648-2601. The NPI number 1396745493 was assigned on July 29, 2005 and the record was last updated on June 9, 2008.

Dr. Berg lists a license in the registry: #17463 (TX) 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 Malcolm R. Berg, D.M.D.?

The NPI number is 1396745493.

What is the phone number of Dr. Berg?

The phone number listed for the practice location is (830) 875-3521.

Where is Dr. Berg located?

409 E Crockett St, Luling, TX 78648-2601.

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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