Organization · Type 2 NPI

Steven Bergman, DMD & Clark Ingoldsby, Dds, PC

Periodontics · Braintree, MA

NPI number 1093744674 Active

Practice location

10 Forbes Rd, Suite 230
Braintree, MA 02184-2605

Fax (781) 356-2388

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X15349 (MA)
Periodontics Primary 1223P0300X18388 (MA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1093744674

Steven Bergman, DMD & Clark Ingoldsby, Dds, PC's National Provider Identifier is 1093744674, issued on Jul 3, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Braintree, MA. The record was last updated on Sep 11, 2025.