Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NEIL E BERGSTROM, D.D.S.
Active Sole ProprietorNEIL E BERGSTROM, D.D.S. is a General Dentistry healthcare provider located in ENUMCLAW, Washington. NPI 1902993363 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ENUMCLAW, WA
Registration Details
- NPI Number
- 1902993363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.868488719789 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4318 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2660 GRIFFIN AVEENUMCLAW, WA, 980222325Browse WA providers · Browse ZIP 98022
- Phone
- 3608256596
- Fax
- 3608020797
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ENUMCLAW, WA
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT CHRISTIAN DECKER | DMD | 1326126251 |
| DR. BRENT ARNOLD SKOVMAND | DDS | 1194894238 |
| DR. GRANT SHIH MING LO | DDS | 1619030160 |
| DR. JAMES H HARRIS | DDS | 1821145186 |
| DR. RICHARD ELWYN WEIDE | DDS | 1548450158 |
| DANIEL RYNING | — | 1821229550 |
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.