| Matthew D. Berg, D.d.s., P.a. | |
| 
					2193 Silver Lake Rd Nw New Brighton MN 55112-5331  | |
| (651) 633-3116 | |
| Not Available | 
| Full Name | Matthew D. Berg, D.d.s., P.a. | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2193 Silver Lake Rd Nw, New Brighton, Minnesota | 
| Authorized Official Name and Position | Matthew Douglas Berg (PRESIDENT) | 
| Authorized Official Contact | 6512359227 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew D. Berg, D.d.s., P.a. 2193 Silver Lake Rd Nw New Brighton MN 55112-5331 Ph: (651) 633-3116  | Matthew D. Berg, D.d.s., P.a. 2193 Silver Lake Rd Nw New Brighton MN 55112-5331 Ph: (651) 633-3116  | 
| NPI Number | 1063685493 | 
|---|---|
| Provider Enumeration Date | 04/07/2008 | 
| Last Update Date | 05/20/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063685493 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11937 (Minnesota) | Primary | 
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