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Contact Information

TYLER P BERGIEN, DDS
945 W BROADWAY
SUITE #201
JACKSON, WY83001
 Phone: 307-734-5200
 Fax: 307-733-2922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TYLER P BERGIEN · (Male)

NPI Number 1669683025
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/25/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WY License # #1004
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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