ANDREA BERGE (NPI# 1578089207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578089207 |
| Entity Type | Individual |
| Full Name | ANDREA BERGE |
| Credential | DDS |
| Practice Address |
12904 Central Ave Ne Blaine MN 55434-4147 |
| Mailing Address |
86 Wedgewood Dr Mahtomedi MN 55115-1482 |
| Practice Telephone | 7637551330 |
| Mailing Telephone | 6513539878 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D13896 | MN | Dental Providers |
| Street Address |
12904 CENTRAL AVE NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003371 | Pdg,p.a. | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-11-28 |
| 1902398944 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 12904 Central Ave Ne, Blaine, MN 55434 | 2018-06-05 |
| 1104273085 | Thien Quang Pham | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2016-05-19 |
| 1003263377 | Allison Marie Mcmillen | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2016-05-17 |
| 1013355593 | Jeffrey Mark Ruhlmann | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2013-06-06 |
| 1376980755 | Shawn Mccarthy | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2013-05-27 |
| 1477600807 | Peter Jon Thompson | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2007-01-05 |
| 1083777411 | Anissa Jane Kozlowski | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-12-18 |
| 1215090659 | Robb David Kozlowski | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-12-18 |
| 1043379514 | Stephen Michael Sawyer | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1396307161 | Marcellus Horsch | Dentist | 4255 Pheasant Ridge Dr Ne Ste 407, Blaine, MN 55449-5066 | 2019-07-02 |
| 1548641657 | Oluwakayode Adebola Olowoyo | Dentist | 4851 124th Ln Ne, Blaine, MN 55449-7302 | 2015-06-15 |
| 1467749671 | Michael Anthony Neary | Dentist | 1878 - 111th Ave. Ne, Blaine, MN 55449-5352 | 2011-07-08 |
| 1184959454 | Arif Nazir | Dentist | 10210 Baltimore St Ne, Suite 100, Blaine, MN 55449-6049 | 2009-10-05 |
| 1497982318 | Sarah Rose Latterell | Dentist | 10945 Ulysses St Ne, Blaine, MN 55434-4185 | 2009-06-18 |
| 1083884191 | Patrick Rooney D.d.s. P.s. | Dentist | 215 Marine Dr # 1, Blaine, WA 98230-4036 | 2008-03-04 |
| 1225233232 | Anita M Thomas | Dentist | 11949 Central Avenue Ne, Blaine, MN 55434-3911 | 2007-06-19 |
| 1912070590 | Sandra Huebsch Kennedy | Dentist | 11800 Aberdeen St Ne Ste 110, Blaine, MN 55449-4812 | 2006-11-15 |
| Find all providers in BLAINE | ||||
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| 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.