NPI 1003915174
Jennifer E Bergstrom, DDS
Practice location
- Address
- 413 W Washington Ave, Madison, WI 53703-2703
- Phone
- (608) 251-8790
- Fax
- (608) 251-0242
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003915174
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Sep 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.