Individual
DR. THOMAS BERCHTOLD
Active
Individual
DR. THOMAS BERCHTOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5142466-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5142466-9926
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00204331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5142466-9926
DOPL
UT
Enumeration date
01/30/2006
Last updated
01/13/2026
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