TANNER BERG (NPI# 1295343952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295343952 |
| Entity Type | Individual |
| Full Name | TANNER BERG |
| Credential | DDS |
| Practice Address |
5350 S Robert Trl Inver Grove Heights MN 55077-1404 |
| Mailing Address |
2200 County Road C W Ste 2210 Roseville MN 55113-2551 |
| Practice Telephone | 6514509579 |
| Mailing Telephone | 6517462815 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D14444 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14444 | MN | Dental Providers |
| Street Address |
5350 S ROBERT TRL |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55077-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710045117 | Pdg, P.a. | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-05 |
| 1255493102 | Stephen Robert Mcdonnell | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-15 |
| 1477612323 | Ba Thanh Lam | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194229 | Suite Living Senior Care of Inver Grove Heights | Assisted Living Facility | 7900 Austin Way, Inver Grove Heights, MN 55077 | 2020-05-05 |
| 1801325402 | Marnie Tuenge | Counselor | 4890 Ashley Lane, 301, Inver Grove Heights, MN 55077 | 2017-06-07 |
| 1104172576 | Amanda Lefler | Pharmacist | 7841 Amana Trail, Inver Grove Heights, MN 55077 | 2012-08-03 |
| 1568743474 | Jw Advantage Care, LLC | Home Health | 1870- 50th Street E., Suite 7, Inver Grove Heights, MN 55077 | 2011-09-06 |
| 1255625737 | Greathomemn | Assisted Living Facility | 8668 A;lvarado Court, Inver Grove Heights, MN 55077 | 2011-06-02 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083847610 | Inverwood Senior Living LLC | Assisted Living Facility | 7260 So. Robert Trail, Inver Grove Heights, MN 55077 | 2009-08-31 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1922485598 | Elizabeth Price | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-05-01 |
| 1811316730 | Abdirizak Nuno | Psychiatry & Neurology | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2014-04-08 |
| Find all providers in zip 55077 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588049480 | Star Dental | Dentist | 5972 Cahill Ave Ste 104, Inver Grove Heights, MN 55076-1521 | 2015-07-22 |
| 1710045117 | Pdg, P.a. | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-05 |
| 1346320595 | Gary L Bergh Dds, Pa | Dentist | 7555 Cloman Way, Inver Grove Heights, MN 55076-3103 | 2006-10-16 |
| 1073526497 | Steven Julius Benke | Dentist | 5972 Cahill Avenue, Suite 109, Inver Grove Heights, MN 55076-1521 | 2006-08-15 |
| 1154394559 | Robert Michael Harper | Dentist | 5766 Blackshire Path, Inver Grove Heights, MN 55076-1624 | 2006-02-08 |
| 1609865286 | Michael J Dillon | Dentist | 1320 Mendota Rd, Inver Grove Heights, MN 55077-1255 | 2005-10-17 |
| 1104814003 | Arthur A Broderson | Dentist | 6665 Cahill Ave, Inver Grove Heights, MN 55076-2026 | 2005-10-13 |
| 1689988164 | Robert M. Harper Dds | Dentist | 5766 Blackshire Path, Inver Grove Heights, MN 55076-1624 | 2010-07-27 |
| 1891979050 | Cahill Dental Care Pa | Dentist | 6105 Cahill Ave, Inver Grove Heights, MN 55076-1525 | 2007-12-24 |
| 1255493102 | Stephen Robert Mcdonnell | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-15 |
| Find all providers in INVER GROVE HEIGHTS | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55077 |
Please comment or provide details below to improve the information on TANNER BERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.