Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHELLEY DANIELLE WADE BERGANSKE, D.M.D.
Active Sole ProprietorDR. SHELLEY DANIELLE WADE BERGANSKE, D.M.D. is a Pediatric Dentistry healthcare provider located in SUWANEE, Georgia. NPI 1922490333 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SUWANEE, GA
Registration Details
- NPI Number
- 1922490333
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2015 (11.493350189154 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
DN014966 (GA)DN014966 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1380 PEACHTREE INDUSTRIAL BLVD STE 150SUWANEE, GA, 300243795Browse GA providers · Browse ZIP 30024
- Phone
- 7706148914
- Fax
- 7706148917
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in SUWANEE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL RICHARD HANSEN | D.D.S. | 1245347814 |
| DR. SANDRA OH | DMD | 1912078478 |
| DR. LISA KOH LEE | D.M.D. | 1699843052 |
| DR. CYNTHIA JONES II | — | 1306982699 |
| DR. RHONDA COREY HOGAN | D.M.D. | 1164551081 |
| PRIYA GULATI | DDS | 1033371091 |
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.