| Dr Malcolm R Berg, DMD | |
|
409 E Crockett St, Luling, TX 78648-2601 | |
| (830) 875-3521 | |
| (830) 875-2212 |
| Full Name | Dr Malcolm R Berg |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 409 E Crockett St, Luling, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396745493 | NPI | - | NPPES |
| 0094708-01 | Medicaid | TX | |
| 1343876 | Other | TX | UNITED CONCORDIA |
| 0094708-02 | Medicaid | TX | |
| 806227 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17463 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Malcolm R Berg, DMD 3601 Leadville Dr, Austin, TX 78749-6938 Ph: (512) 291-0230 | Dr Malcolm R Berg, DMD 409 E Crockett St, Luling, TX 78648-2601 Ph: (830) 875-3521 |
Dr. Rochelle Nicole Wilk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 S Laurel Ave, Luling, TX 78648 Phone: 830-875-6603 Fax: 830-875-6614 | |
Dr. Kalyana Chakravarthi Ponangi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 651 E Crockett St, Luling, TX 78648 Phone: 830-875-6603 | |
Dr. Kamala Ann Lewis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 508 E Pierce St, Luling, TX 78648 Phone: 830-875-2056 Fax: 830-875-2095 |