DR. ROBERT H BERGHOFF (NPI# 1811911969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811911969 |
| Entity Type | Individual |
| Full Name | DR. ROBERT H BERGHOFF |
| Credential | D.D.S. |
| Practice Address |
470 Bennett Drive Suite C Warren IN 46792 |
| Mailing Address |
Po Box 342 Warren IN 46792-0342 |
| Practice Telephone | 2603752246 |
| Practice Fax Number | 2603752943 |
| Mailing Telephone | 2603752246 |
| Mailing Fax Number | 2603752943 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12007839 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024831 | Robert A Berghoff Jr. | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2005-06-27 |
| Street Address |
470 BENNETT DRIVE SUITE C |
| City | WARREN |
| State | IN |
| Zip Code | 46792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598173056 | Whitney J. Shafer | Nurse Practitioner | 470 Bennett Dr, Warren, IN 46792 | 2014-07-29 |
| 1952614224 | Michelle Lynn Layman | Speech-Language Pathologist | 123 N Wayne St, Warren, IN 46792 | 2010-07-15 |
| 1609082775 | Vernon Winfield Byer | Pharmacist | Warren Pharmacy, 222 North Wayne St, Warren, IN 46792 | 2007-05-15 |
| 1043413016 | Charis M Daniels | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245433325 | Marsha J Crickard | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-06-07 |
| 1245441633 | Millie Ann Ellis | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1275744666 | Cheryl A Campbell | Pharmacy Technician | 222 N Wayne St, Warren Pharmacy, Warren, IN 46792 | 2007-05-25 |
| 1942411335 | Patricia Lynn Breckenridge | Pharmacy Technician | 222 N Wayne St, Warren, IN 46792 | 2007-05-25 |
| 1639320104 | Angela Lamar | Physical Therapy Assistant | 716 E Jefferson St, Warren, IN 46792-0152 | 2008-10-02 |
| 1235219296 | Kevin James Deakyne | Dentist | 470 Bennett Dr., Suite A, Warren, IN 46792-0307 | 2006-10-16 |
| Find all providers in zip 46792 | ||||
| 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 |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1013250026 | Warren Dental Group, David M Raiffe, Dds, Mba, Inc | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2013-03-28 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| Find all providers in WARREN | ||||
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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.