Active NPIIndividual provider

Dr. Peter A Bergeson, DDS

Dentist, General Practice in Eugene, Oregon

NPI Number1801062823
Practice location
1680 Chambers St, Suite 204, Eugene, OR 97402-3655
Fax
541-345-4012
Last updated
October 30, 2012

Dr. Peter A Bergeson, DDS is a Dentist, General Practice based in Eugene, OR. Dr. Peter A Bergeson, DDS holds the professional credentials of DDS. The NPI number for Dr. Peter A Bergeson, DDS is 1801062823 and holds license No. 361779-9922 (UT). The current practice location address is 1680 Chambers St, Suite 204, Eugene, OR 97402-3655 and the office can be reached by phone at 541-345-2042 and by fax at 541-345-4012. The NPI was assigned on April 30, 2008 and the record was last updated in NPPES on October 30, 2012.

●Provider Profile Details

NPI Number
1801062823
Provider Name
Peter A Bergeson
Credential
DDS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Enumeration Date
April 30, 2008
Last Update Date
October 30, 2012
NPI Status
Active

◉Business Practice Location Address

Address
1680 Chambers St
Suite 204
Eugene, OR 97402-3655
City
Eugene
State
Oregon
ZIP
97402-3655
Country
US
Phone Number
541-345-2042
Fax Number
541-345-4012

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✉Business Mailing Address

Address
1680 Chambers St
Suite 204
Eugene, OR 97402-3655
City
Eugene
State
OR
ZIP
97402-3655
Phone Number
541-345-2042
Fax Number
541-345-4012

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist122300000XNo361779-9922UT
Dentist, General Practice1223G0001XYesD9040OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Peter A Bergeson, DDS?

The NPI number of Dr. Peter A Bergeson, DDS is 1801062823. It was assigned on April 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter A Bergeson, DDS?

Dr. Peter A Bergeson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. 361779-9922 (UT).

Where does Dr. Peter A Bergeson, DDS practice?

The practice location is 1680 Chambers St, Suite 204, Eugene, OR 97402-3655. The office can be reached at 541-345-2042 (phone) or 541-345-4012 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801062823 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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