MATTHEW D. BERG, D.D.S., P.A.


Address: 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331
Phone: 6516333116

MATTHEW D. BERG, D.D.S., P.A. (NPI# 1063685493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063685493
Entity Type Organization
Organization Name MATTHEW D. BERG, D.D.S., P.A.
Other Organization Name RICE CREEK DENTAL
Practice Address 2193 Silver Lake Rd Nw
New Brighton
MN 55112-5331
Practice Telephone 6516333116
Mailing Telephone 6516333116
Enumeration Date 2008-04-07
Last Update Date 2008-05-20
Authorized Official Name DR. MATTHEW DOUGLAS BERG (PRESIDENT)
Authorized Official Telephone 6512359227
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
D11937 MN Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rice Creek Dental Doing Business As Name - Organization

Office Location

Street Address 2193 SILVER LAKE RD NW
City NEW BRIGHTON
State MN
Zip Code 55112-5331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679592141 Matthew Douglas Berg Dentist 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331 2006-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932729704 Owegio Wreh Technician 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 2020-04-22
1205497435 Silver Lake Smiles Family Dentistry Clinic/Center 2370 Palmer Drive, New Brighton, MN 55112 2019-06-27
1932766169 Matthew Thomas Hanowski Dentist 2442 Mounds View Boulevard, Mounds View, MN 55112 2019-05-22
1437619988 Marjean Diane Leary Registered Nurse 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 2019-03-21
1558802728 Krishna Katira Student in an Organized Health Care Education/Training Program 2442 County Hwy 10, Mounds View, MN 55112 2017-03-20
1245781608 Evan Fredrick Lieberman Counselor 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 2016-10-20
1093262065 Ryan Zinken Nurse Practitioner 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 2016-09-07
1447703228 Alison Glodek Social Worker 2543 17th St Nw, New Brighton, MN 55112 2016-07-28
1659728194 Ge Vang Sr. Driver 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 2016-05-14
1114373578 Jessica Gapinski Specialist/Technologist 3900 Bethel Drive, Arden Hills, MN 55112 2016-05-04
Find all providers in zip 55112

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033710025 Theresa M. Snell Clinic/Center 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 2020-11-05
1205497435 Silver Lake Smiles Family Dentistry Clinic/Center 2370 Palmer Drive, New Brighton, MN 55112 2019-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376143248 James M. Williams, D.d.s., P.a. Clinic/Center 620 Union St S, Mora, MN 55051-1818 2020-10-29
1235746058 Asp Dental, PC Clinic/Center 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 2020-09-25
1952918781 Asp Dental, PC Clinic/Center 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 2020-09-25
1518574532 Stillwater Family Dental Clinic/Center 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 2020-09-24
1093321531 Barnett Dental Inc Clinic/Center 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 2020-09-21
1356955868 Todd A Brewer Dds Pllc Clinic/Center 603 Jefferson Ave Sw, Watertown, MN 55388 2020-09-02
1770195158 Mark T. Sherman Dds Pa Clinic/Center 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 2020-08-18
1689286015 Lifelong Dental Care Clinic/Center 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 2020-08-18
1528678497 Custom Smiles Dentistry, Pllc Clinic/Center 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 2020-08-05
1720698152 Curtis & Larson Dental Office, Pa Clinic/Center 820 3rd Ave Sw, Sleepy Eye, MN 56085-1816 2020-07-31
Find all providers with the same taxonomy

Competitor

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City NEW BRIGHTON
Zip Code 55112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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