Organization
JOHN B BERG JR DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DICKERSON (CLERICAL)
(423) 624-6241
Entity
Organization
Contact information
Practice address
415 S GERMANTOWN RD, CHATTANOOGA, TN 37411-5026
(423) 624-6241
(423) 624-0783
Mailing address
415 S GERMANTOWN RD, CHATTANOOGA, TN 37411-5026
(423) 624-6241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS4054
DENTAL INSURANCE PLANS
TN
Enumeration date
08/06/2019
Last updated
08/06/2019
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