| Dr Timothy Berger | |
|
1620 Saint Joe River Dr Fort Wayne IN 46805-1434 | |
| (260) 482-4202 | |
| (260) 482-5232 |
| Full Name | Dr Timothy Berger |
|---|---|
| Speciality | Dentist |
| Location | 1620 Saint Joe River Dr, Fort Wayne, Indiana |
| Authorized Official Name and Position | Timothy S Berger (OWNER) |
| Authorized Official Contact | 2604824202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Berger 1620 Saint Joe River Dr Fort Wayne IN 46805-1434 Ph: (260) 482-4202 | Dr Timothy Berger 1620 Saint Joe River Dr Fort Wayne IN 46805-1434 Ph: (260) 482-4202 |
| NPI Number | 1114212461 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114212461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008676 (Indiana) | Primary |
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