Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK S BERG, D.M.D.
Active Sole ProprietorDR. MARK S BERG, D.M.D. is a Periodontology healthcare provider located in LYNBROOK, New York. NPI 1780797118 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LYNBROOK, NY
Registration Details
- NPI Number
- 1780797118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (20.020984442995 yrs)
- Last Updated
- Jul 8, 2007
- License
-
31917 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
213 HEMPSTEAD AVELYNBROOK, NY, 115631607Browse NY providers · Browse ZIP 11563
- Phone
- 5165990575
- Primary Specialty
-
Periodontology
1223P0300X
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.