Keith R. Berg, DMD

General Practice Dentistry · Medford, OR

Individual Active NPI

NPI number 1811021934

Practice location

2936 E Barnett Rd
Medford, OR 97504-8309
Phone
(541) 779-4517
Fax
(541) 779-4605

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NPI record

NPI
1811021934
Entity type
Individual (Type 1)
Enumeration date
March 14, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D4310 OR

About Dr. Berg

Keith R. Berg, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2936 E Barnett Rd, Medford, OR 97504-8309. The NPI number 1811021934 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.

Dr. Berg lists a license in the registry: #D4310 (OR) 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 Keith R. Berg, DMD?

The NPI number is 1811021934.

What is the phone number of Dr. Berg?

The phone number listed for the practice location is (541) 779-4517.

Where is Dr. Berg located?

2936 E Barnett Rd, Medford, OR 97504-8309.

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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