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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA BERGTHOLD, DDS

Active Sole Proprietor

MARISSA BERGTHOLD, DDS is a Oral & Maxillofacial Surgery healthcare provider located in OVERLAND PARK, Kansas. NPI 1265920086 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · OVERLAND PARK, KS

Registration Details

NPI Number
1265920086
Provider Type
Individual
Gender
Female
NPI Issued
Apr 26, 2018 (8.2843209877196 yrs)
Last Updated
Jul 11, 2024
Licenses
62193 (KS)
2024026317 (MO)
Sole Proprietor
Yes

Practice Information

Address
7701 W 119TH ST
OVERLAND PARK, KS, 662131103
Browse KS providers · Browse ZIP 66213
Phone
9135295999
Fax
9135295995
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in OVERLAND PARK, KS

Name Credential NPI
DR. HAROLD A KRUEGER D.D.S. 1396741781
DR. STEVEN L. THOMAS 1801875109
DR. MAX D SMITH JR. D.D.S 1063449544
VIVEK SHARMA D.M.D 1255822581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.