Provider Demographics
NPI:1376378141
Name:BERGER ORTHODONTICS PLLC
Entity type:Organization
Organization Name:BERGER ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:720-627-8818
Mailing Address - Street 1:14749 W. 87TH PARKWAY
Mailing Address - Street 2:UNIT B
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1337
Mailing Address - Country:US
Mailing Address - Phone:720-627-8818
Mailing Address - Fax:720-627-8813
Practice Address - Street 1:14749 W. 87TH PARKWAY
Practice Address - Street 2:UNIT B
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1337
Practice Address - Country:US
Practice Address - Phone:720-627-8818
Practice Address - Fax:720-627-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty