| Bridge City Dentistry P.c. | |
|
239 2nd Ave Nw Valley City ND 58072-2909 | |
| (701) 845-4221 | |
| Not Available |
| Full Name | Bridge City Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 239 2nd Ave Nw, Valley City, North Dakota |
| Authorized Official Name and Position | Caron Lyn Berg (DENTIST) |
| Authorized Official Contact | 7018454221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge City Dentistry P.c. 202 Central Ave S Valley City ND 58072-3325 Ph: (701) 845-4221 | Bridge City Dentistry P.c. 239 2nd Ave Nw Valley City ND 58072-2909 Ph: (701) 845-4221 |
| NPI Number | 1437334380 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437334380 | NPI | - | NPPES |
| 1053510982 | Medicaid | ND | |
| 1073681953 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1996 (North Dakota) | Primary |
Concept Dentistry, Pc Valley City Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 West Main St, Valley City, ND 58072 Phone: 701-845-2180 | |
Dental Associates Of Valley City P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Central Ave S, Valley City, ND 58072 Phone: 701-845-4221 |