Dr. Shane Daniel Bergo
Endodontist
730 Whalers Way Suite 300
Fort Collins
, Colorado 80525-7585
Dr. Shane Daniel Bergo
Endodontist
730 Whalers Way Suite 300
Fort Collins
, Colorado 80525-7585
(970) 229-1404
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Shane Daniel Bergo
- 3744 S Timberline Rd Suite 101
- Fort Collins, CO
- Zip : 80525-4333
- Phone : (970) 229-1404
Second Address
- Dr. Shane Daniel Bergo
- 730 Whalers Way Suite 300
- Fort Collins, CO
- Zip : 80525-7585
- Fax : (970) 229-1422
- Phone : (970) 229-1404
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 7256 | CO |
National Provider Identifier
| NPI | 1023137122 |
|---|---|
| Provider Name | Dr. Shane Daniel Bergo |
| First Address | Fort Collins, CO 80525-4333 |
| Second Address | Fort Collins, CO 80525-7585 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2007 |
| Last Update Date | 08/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.