Tyler Paul Bergien, DDS

General Practice Dentistry · Jackson, WY

Individual Active NPI

NPI number 1669683025

Practice location

945 W Broadway
Suite #201
Jackson, WY 83001
Phone
(307) 734-5200
Fax
(307) 733-2922

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NPI record

NPI
1669683025
Entity type
Individual (Type 1)
Enumeration date
May 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X #1004 WY

Mailing address

945 W Broadway
Suite 201,P O Box 11779
Jackson, WY 83001
Phone
(307) 734-5200
Fax
(307) 733-2922

About Dr. Bergien

Tyler Paul Bergien, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 945 W Broadway, Suite #201, Jackson, WY 83001. The NPI number 1669683025 was assigned on May 25, 2007 and the record was last updated on July 8, 2007.

Dr. Bergien lists a license in the registry: ##1004 (WY) 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 Tyler Paul Bergien, DDS?

The NPI number is 1669683025.

What is the phone number of Dr. Bergien?

The phone number listed for the practice location is (307) 734-5200.

Where is Dr. Bergien located?

945 W Broadway, Suite #201, Jackson, WY 83001.

What is the taxonomy code for Dr. Bergien?

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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