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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D11937 | MN | Dental Providers |
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 |
Street Address |
2193 SILVER LAKE RD NW |
City | NEW BRIGHTON |
State | MN |
Zip Code | 55112-5331 |
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 |
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 Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
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 |
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 |
City | NEW BRIGHTON |
Zip Code | 55112 |
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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.