Individual
DR. RONALD BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 DILLON ROAD, MONTICELLO, NY 12701
(845) 794-5454
(845) 794-5458
Mailing address
PO BOX 1257, MONTICELLO, NY 12701
(845) 794-5454
(845) 794-5458
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501533
—
NY
Enumeration date
08/03/2006
Last updated
07/08/2007
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