| Bryan M Bergens Dds Pa | |
|
724 South Beach Street Suite 4 Daytona Beach FL 32114 | |
| (386) 258-2213 | |
| (386) 253-7943 |
| Full Name | Bryan M Bergens Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 724 South Beach Street, Daytona Beach, Florida |
| Authorized Official Name and Position | Bridget Rowbatham Bergens (CEO) |
| Authorized Official Contact | 3862582213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan M Bergens Dds Pa 724 South Beach Street Suite 4 Daytona Beach FL 32114 Ph: (386) 258-2213 | Bryan M Bergens Dds Pa 724 South Beach Street Suite 4 Daytona Beach FL 32114 Ph: (386) 258-2213 |
| NPI Number | 1487760054 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487760054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13806 (Florida) | Primary |
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