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Contact Information

RANDY J BERG, DDS
1245 15TH ST N
SAINT CLOUD, MN56303
 Phone: 320-253-5824
 Fax: 320-203-2076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RANDY J BERG · (Male)

NPI Number 1194836957
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 8993
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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