James L. Berghorst, D.D.S.

General Practice Dentistry · Jenison, MI

Individual Active NPI

NPI number 1407907595

Practice location

596 Baldwin St
Jenison, MI 49428-9756
Phone
(616) 457-0450
Fax
(616) 457-3199

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NPI record

NPI
1407907595
Entity type
Individual (Type 1)
Enumeration date
January 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11529 MI

About Dr. Berghorst

James L. Berghorst, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 596 Baldwin St, Jenison, MI 49428-9756. The NPI number 1407907595 was assigned on January 15, 2007 and the record was last updated on July 8, 2007.

Dr. Berghorst lists a license in the registry: #11529 (MI) 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 James L. Berghorst, D.D.S.?

The NPI number is 1407907595.

What is the phone number of Dr. Berghorst?

The phone number listed for the practice location is (616) 457-0450.

Where is Dr. Berghorst located?

596 Baldwin St, Jenison, MI 49428-9756.

What is the taxonomy code for Dr. Berghorst?

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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