Individual provider · Type 1 NPI

Bethany Ann Bergstad, RDH

Dental Hygienist · Brook Park, MN

NPI number 1487936480 Active

Practice location

1619 Mallard Rd
Brook Park, MN 55007-4712

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XH8918 (MN)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

About NPI 1487936480

Bethany Ann Bergstad, RDH's National Provider Identifier is 1487936480, issued on Sep 15, 2011. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Brook Park, MN. The record was last updated on Sep 15, 2011.