# BERG DENTISTRY

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

## Provider details

- **NPI number:** 1932366341
- **Authorized official:** DR. TAMARA S BERG DDS (DENTIST)
- **Authorized official phone:** (405) 354-3763

## Contact information

- **Practice address:** 910 S. YUKON PARKWAY, YUKON, OK 73099-1801
- **Practice address phone:** (405) 354-3763
- **Mailing address:** 910 S. YUKON PARKWAY, YUKON, OK 73099-1801
- **Mailing address phone:** (405) 354-3763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5212 | OK | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 08/12/2011