Individual provider · Type 1 NPI

Shelley Danielle Wade Berganske, DMD

Pediatric Dentistry · Suwanee, GA

NPI number 1922490333 Active

Practice location

1380 Peachtree Industrial Blvd Ste 150
Suwanee, GA 30024-3795

Call (770) 614-8914 Map

Fax (770) 614-8917

Mailing address

1380 Peachtree Industrial Blvd, #150
Suwanee, GA 30024

Other practice locations

  • 1430 John Wesley Gilbert Dr, Augusta, GA 30912-1000 · (706) 712-2551

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XDN014966 (GA)
Pediatric Dentistry Primary 1223P0221XDN014966 (GA)

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.

Another provider at this address

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About NPI 1922490333

Shelley Danielle Wade Berganske, DMD's National Provider Identifier is 1922490333, issued on Feb 21, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Suwanee, GA. The record was last updated on Jul 21, 2022.