Graylon Robert Berg

General Practice Dentistry · Mission, TX

Individual Active NPI

NPI number 1568155828

Practice location

117 E Griffin Pkwy
Mission, TX 78572-2909
Phone
(956) 413-7541

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NPI record

NPI
1568155828
Entity type
Individual (Type 1)
Enumeration date
June 1, 2023
Last updated
June 15, 2023
Certified
June 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 39575 TX
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1043 N Hidden Cove Ln
Lehi, UT 84043-3609
Phone
(385) 224-6094

About Graylon Berg

Graylon Robert Berg is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 117 E Griffin Pkwy, Mission, TX 78572-2909. The NPI number 1568155828 was assigned on June 1, 2023 and the record was last updated on June 15, 2023.

Graylon Berg lists a license in the registry: #39575 (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 Graylon Robert Berg?

The NPI number is 1568155828.

What is the phone number of Graylon Berg?

The phone number listed for the practice location is (956) 413-7541.

Where is Graylon Berg located?

117 E Griffin Pkwy, Mission, TX 78572-2909.

What is the taxonomy code for Graylon Berg?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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