Individual
DR. ROBERT FREDERICK BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
—
SC 1354
STATE ID
SC
05
—
Z13548
—
SC
Enumeration date
01/24/2007
Last updated
07/08/2007
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