Individual provider · Type 1 NPI

William Frederick Bergeron Jr., DDS

Oral and Maxillofacial Surgery (Dentist) · Anchorage, AK

NPI number 1295755296 Active

Practice location

111 W 16th Ave, Suite 203
Anchorage, AK 99501-6206

Fax (907) 561-2697

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X1103 (AK)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X133 (AK)
Dentist 122300000X9566 (MD)

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.

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About NPI 1295755296

William Frederick Bergeron Jr., DDS's National Provider Identifier is 1295755296, issued on Jul 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Anchorage, AK. The record was last updated on Apr 10, 2008.