Whalio Doctors

NPI 1083789804

Daniel Michael Bergeron, DDS

Practitioner General Practice Dentistry Fairbanks, AK

Practice location

Address
3112 Airport Way Suite 2, Fairbanks, AK 99709-4754
Phone
(907) 456-5600
Fax
(907) 451-6470

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 819 (AK)

Registry record

NPI
1083789804
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Nov 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.