NPI 1053510982 · live from the CMS NPI Registry
Caron L Berg, D.D.S.
Dentist, General Practice in Valley City, ND. National Provider Identifier 1053510982, active.
NPI record
| NPI | 1053510982 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 239 2nd Ave Nw, Valley City, ND 58072 |
| Practice phone | 701-845-4221 |
| Enumerated | July 11, 2007 |
| Last updated | August 24, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1996 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.