Individual provider · Type 1 NPI

Joel Howard Berg, DDS

Pediatric Dentistry · Seattle, WA

NPI number 1063574598 Active

Practice location

1959 NE Pacific St, B242
Seattle, WA 98195-7136

Fax (206) 616-7470

Mailing address

Box 357136, 1959 NE Pacific St B242
Seattle, WA 98195-7136

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDE00008754 (WA)
Pediatric Dentistry 1223P0221XDS029281R (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1063574598

Joel Howard Berg, DDS's National Provider Identifier is 1063574598, issued on Dec 14, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.