Individual
DR. BRUCE ALAN VANDE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1010 HIGH HOUSE RD, SUITE 100, CARY, NC 27513-3576
(919) 461-0110
(919) 461-0114
Mailing address
1010 HIGH HOUSE RD, SUITE 100, CARY, NC 27513-3576
(919) 461-0110
(919) 461-0114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6408
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112637
UNITED CONCORDIA
—
01
—
218581
CIGNA
—
01
—
5846074
AETNA
—
01
—
98762
BCBS
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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