| Daniel M. Bergeron, D.d.s., P.c. | |
|
3112 Airport Way Ste 2 Fairbanks AK 99709-4773 | |
| (907) 456-5600 | |
| (907) 451-6470 |
| Full Name | Daniel M. Bergeron, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3112 Airport Way Ste 2, Fairbanks, Alaska |
| Authorized Official Name and Position | Daniel M Bergeron (OWNER - SOLE PROPRIETOR) |
| Authorized Official Contact | 90745465600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel M. Bergeron, D.d.s., P.c. 3112 Airport Way Ste 2 Fairbanks AK 99709-4773 Ph: (907) 456-5600 | Daniel M. Bergeron, D.d.s., P.c. 3112 Airport Way Ste 2 Fairbanks AK 99709-4773 Ph: (907) 456-5600 |
| NPI Number | 1326362344 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 03/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326362344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AA 0819 (Alaska) | Primary |
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