Gail Theresa Bergen X
Dental Assistant
427 9th St
San Antonio
, Texas 78215-1528
Gail Theresa Bergen X
Dental Assistant
427 9th St
San Antonio
, Texas 78215-1528
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Gail Theresa Bergen X
- 427 9th St
- San Antonio, TX
- Zip : 78215-1528
- Phone :
Second Address
- Gail Theresa Bergen X
- 427 9th St
- San Antonio, TX
- Zip : 78215-1528
- Phone : (508) 968-6582
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | DA10457 | MA |
National Provider Identifier
| NPI | 1023677614 |
|---|---|
| Provider Name | Gail Theresa Bergen X |
| First Address | San Antonio, TX 78215-1528 |
| Second Address | San Antonio, TX 78215-1528 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2019 |
| Last Update Date | 07/06/2019 |
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.