Stefan Paul Bergeron, D.D.S.

Dentist · Evergreen, CO

Individual Active NPI

NPI number 1962757674

Practice location

2902 Evergreen Pkwy
Evergreen, CO 80439-7916
Phone
(303) 674-5566

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NPI record

NPI
1962757674
Entity type
Individual (Type 1)
Enumeration date
July 18, 2012
Last updated
May 20, 2022
Certified
May 20, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 202826 CO

Mailing address

976 Old Squaw Pass Rd
Evergreen, CO 80439-4737
Phone
(847) 648-0082

About Dr. Bergeron

Stefan Paul Bergeron, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2902 Evergreen Pkwy, Evergreen, CO 80439-7916. The NPI number 1962757674 was assigned on July 18, 2012 and the record was last updated on May 20, 2022.

Dr. Bergeron lists a license in the registry: #202826 (CO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stefan Paul Bergeron, D.D.S.?

The NPI number is 1962757674.

What is the phone number of Dr. Bergeron?

The phone number listed for the practice location is (303) 674-5566.

Where is Dr. Bergeron located?

2902 Evergreen Pkwy, Evergreen, CO 80439-7916.

What is the taxonomy code for Dr. Bergeron?

The primary taxonomy code is 122300000X – Dentist.

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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