Diantha Joan Berg, DDS

General Practice Dentistry · Tacoma, WA

Individual Active NPI

NPI number 1598806697

Practice location

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone
(253) 471-4743
Fax
(253) 442-8840

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NPI record

NPI
1598806697
Entity type
Individual (Type 1)
Enumeration date
February 9, 2007
Last updated
November 12, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00006194 WA

Mailing address

1019 Pacific Ave Ste 300
Attn: Credentialing
Tacoma, WA 98402-4488
Phone
(253) 597-4550
Fax
(253) 597-4556

About Dr. Berg

Diantha Joan Berg, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926. The NPI number 1598806697 was assigned on February 9, 2007 and the record was last updated on November 12, 2015.

Dr. Berg lists a license in the registry: #DE00006194 (WA) 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 Diantha Joan Berg, DDS?

The NPI number is 1598806697.

What is the phone number of Dr. Berg?

The phone number listed for the practice location is (253) 471-4743.

Where is Dr. Berg located?

1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926.

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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