DR. GREGORY TODD BERG (NPI# 1942260575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942260575 |
| Entity Type | Individual |
| Full Name | DR. GREGORY TODD BERG |
| Credential | DDS |
| Practice Address |
1325 Queens Ct Suite A St Peters MO 63376-7375 |
| Practice Telephone | 6369286000 |
| Practice Fax Number | 6369286011 |
| Mailing Telephone | 6369286000 |
| Mailing Fax Number | 6369286011 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
015328 | MO | Dental Providers |
| Street Address |
1325 QUEENS CT SUITE A |
| City | ST PETERS |
| State | MO |
| Zip Code | 63376-7375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185045 | Daniel G Stamos Dds PC | Dentist | 5400 N Oak Trfy Ste 201, Kansas City, MO 64118-4690 | 2020-08-18 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1720412463 | Shelly L. Sarich Dds,ms and Spencer Elmore Dds, Ms, PC | Dentist | 1053 Rondale Ct, Dardenne Prairie, MO 63368-7368 | 2013-08-29 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| 1770713265 | Endodontics South, Ltd | Dentist | 1431 Us Hwy 61 So, Festus, MO 63028 | 2009-07-20 |
| 1346483211 | Gregory Joe Powell | Dentist | 12255 De Paul Dr., Ste 885, Bridgeton, MO 63044 | 2009-04-08 |
| 1992955405 | Greater Springfield Endodontics Partnership | Dentist | 2808 S Ingram Mill Rd, Building C108, Springfield, MO 65804-4079 | 2008-09-22 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| Find all providers with the same taxonomy | ||||
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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.