DR. MATTHEW DOUGLAS BERG


Address: 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331
Phone: 6512359227

DR. MATTHEW DOUGLAS BERG (NPI# 1679592141) 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) 1679592141
Entity Type Individual
Full Name DR. MATTHEW DOUGLAS BERG
Credential DDS
Practice Address 2193 Silver Lake Rd Nw
New Brighton
MN 55112-5331
Practice Telephone 6512359227
Mailing Telephone 6512359227
Enumeration Date 2006-07-18
Last Update Date 2008-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D11937 MN Dental Providers

Other Providers MATTHEW BERG

NPI Name Taxonomy Address Enumeration
1861899270 Matthew Berg Specialist/Technologist 1988 S 1100 E Unit 506, Salt Lake City, UT 84106-4723 2014-12-01
1295395572 Matthew Berg Behavior Technician 1161 Lake Cook Rd, Deerfield, IL 60015-5649 2019-06-18
1518490903 Matthew Berg Case Management 841 Steubenville Ave., Cambridge, OH 43725 2017-04-04
1972964138 Matthew Berg Pharmacist 17500 Se 392nd St, Auburn, WA 98092-9705 2016-03-16
1598199572 Matthew David Berg Physical Therapist 901 9th St N, Suite 100, Virginia, MN 55792-2325 2013-08-27
1265669618 Matthew Eric Berg Acupuncturist 291 Main St, Suite 3, Great Barrington, MA 01230-1608 2009-06-12
1710163126 Matthew Berg Dietitian, Registered 9961 Sierra Ave, Fontana, CA 92335-6720 2008-01-16

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
1063685493 Matthew D. Berg, D.d.s., P.a. Clinic/Center 2193 Silver Lake Rd Nw, New Brighton, MN 55112-5331 2008-04-07

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 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255706347 Michael Barry Wolf Dentist 2611 Innsbruck Dr, Suite A, New Brighton, MN 55112-6376 2015-12-01
1750487815 Theresa Mary Snell Dentist 580 5th Ave Nw, Suite 100, New Brighton, MN 55112 2006-09-16
1194820258 Brian Lewis Pierce Dentist 969 Old Highway 8 Nw, Suite 200, New Brighton, MN 55112-2793 2006-09-14
1356326029 Derek L Gustafson Dentist 2467 15th St Nw, Suite A, New Brighton, MN 55112-5596 2005-12-14
1417932773 Hossein A Jalali Dentist 991 9th Ave Nw, New Brighton, MN 55112-2665 2005-12-09
1487002655 Charles Hannon Dentist 580 5th Ave Nw, #100, New Brighton, MN 55112-2801 2016-05-29
1013355643 Grayson T West Dentist 2459 15th St Nw, Ste. C, New Brighton, MN 55112-5594 2013-06-05
1417130667 Kristine Marie Goulet Dentist 2467 15th St Nw, Suite A, New Brighton, MN 55112-5596 2007-12-11
1477659050 Brian L. Pierce, D.d.s., P.a. Dentist 969 Old Highway 8 Nw, Suite 200, New Brighton, MN 55112-2793 2006-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730788498 Modern Dental Professionals Dentist 676 County Road 10 Ne, Blaine, MN 55434-2329 2020-10-22
1588261812 New London Family Dental Dentist 15 Ash St Se, New London, MN 56273 2020-10-09
1164036422 Lolita Hicks Dentist 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 2020-09-03
1326650961 Mcgann Family Dental Dentist 8981 33rd St N, Lake Elmo, MN 55042-9209 2020-08-17
1154931988 Jordan Jeffrey Bolger Dentist 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 2020-08-06
1285243733 Grant R. Sorensen, Dds Dentist 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 2020-07-29
1851909436 Matthew Rohlf Dentist 5378 E Viking Blvd, Wyoming, MN 55092 2020-07-20
1205444106 Sidra Zahooruddin Dentist 107 Dupont Ave, Nw, Renville, MN 56284 2020-07-16
1104434380 Jongseuk Lim Dentist 1119 W Frontage Rd, Owatonna, MN 55060-5663 2020-07-14
1699393942 Danika Elizabeth Jackson Dentist 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 2020-07-13
Find all providers with the same taxonomy

Competitor

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City NEW BRIGHTON
Zip Code 55112

Improve Information

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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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