# BERG DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013865955
- **Authorized official:** BRIAN BERG DDS (DENTIST)
- **Authorized official phone:** (253) 572-3383

## Contact information

- **Practice address:** 3610 S 17TH ST, TACOMA, WA 98405-2011
- **Practice address phone:** (253) 572-3383
- **Practice address fax:** (253) 572-8712
- **Mailing address:** 3610 S 17TH ST, TACOMA, WA 98405-2011
- **Mailing address phone:** (253) 572-3383
- **Mailing address fax:** (253) 572-8712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2026
- **Last updated:** 03/17/2026