Individual
DR. TIMOTHY STEPHAN BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1620 SAINT JOE RIVER DR, FORT WAYNE, IN 46805-1434
(260) 482-4202
(260) 482-5232
Mailing address
1620 SAINT JOE RIVER DR, FORT WAYNE, IN 46805-1434
(260) 482-4202
(260) 482-5232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008676
IN
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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