Individual
DR. JOEL D BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
158 N MAIN ST, UXBRIDGE, MA 01569-1748
(508) 278-2015
(508) 278-5691
Mailing address
158 N MAIN ST, UXBRIDGE, MA 01569-1748
(508) 278-2015
(508) 278-5691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73351-2
DENTAL BENEFIT PROVIDERS
UT
01
—
8577-1
BLUE CROSS BLUE SHIELD
RI
01
—
X04965BE
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/12/2007
Last updated
07/08/2007
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