Organization
BERGER DENTAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F. BERGER D.D.S. (PRESIDENT/DENTIST)
(803) 787-9793
Entity
Organization
Contact information
Practice address
5251 FOREST DR, COLUMBIA, SC 29206-4920
(803) 787-9793
(803) 738-0300
Mailing address
PO BOX 6705, COLUMBIA, SC 29260-6705
(803) 787-9793
(803) 738-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1354
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC1354
DELTA DENTAL INSURANCE ID
SC
05
—
Z13548
—
SC
Enumeration date
02/02/2006
Last updated
08/22/2020
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