Individual provider · Type 1 NPI

Jennifer E. Bergstrom, DDS

General Practice Dentistry · Madison, WI

NPI number 1003915174 Active

About NPI 1003915174

Jennifer E. Bergstrom, DDS's National Provider Identifier is 1003915174, issued on Sep 22, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.