Individual
DR. WILLIAM FREDERICK BERGERON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 W 16TH AVE, SUITE 203, ANCHORAGE, AK 99501-6206
(907) 561-1430
(907) 561-2697
Mailing address
111 W 16TH AVE, SUITE 203, ANCHORAGE, AK 99501-6206
(907) 561-1430
(907) 561-2697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1103
AK
122300000X
Dentist
9566
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
133
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1746707
UNITED CONCORDIA
—
05
—
DD74731
—
AK
05
—
DD74733
—
AK
Enumeration date
07/20/2006
Last updated
04/10/2008
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