Individual provider · Type 1 NPI
Marissa Bergthold, DDS
Oral and Maxillofacial Surgery (Dentist) · Overland Park, KS
NPI number
1265920086
Active
Practice location
7701 W 119th St
Overland Park, KS 66213-1103
Fax (913) 529-5995
Other practice locations
- 19045 E Valley View Pkwy Ste H, Independence, MO 64055-9942 · (913) 529-5999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 62193 (KS) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2024026317 (MO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Overland Park
- Max D. Smith Jr., D.D.SOral and Maxillofacial Surgery (Dentist) Overland Park, KS NPI 1063449544
- Vivek Sharma, D.M.DOral and Maxillofacial Surgery (Dentist) Overland Park, KS NPI 1255822581
- Harold A. Krueger, DDSOral and Maxillofacial Surgery (Dentist) Overland Park, KS NPI 1396741781
- Steven L. ThomasOral and Maxillofacial Surgery (Dentist) Overland Park, KS NPI 1801875109
About NPI 1265920086
Marissa Bergthold, DDS's National Provider Identifier is 1265920086, issued on Apr 26, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Overland Park, KS. The record was last updated on Jul 11, 2024.