Kenneth Richard Berg is a Portland, Oregon based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth Richard Berg is D3208 for General Practice Dentistry in Oregon. His current practice location is 3550 Sw Bond Ave, Portland. Patients can reach him at 503-688-6719.
Kenneth Richard Berg is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth Richard Berg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kenneth Richard Berg
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
3550 Sw Bond Ave, Portland, Oregon, 97239-4507
Phone:
503-688-6719
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1669840518
NPI Enumeration Date:
09 Sep, 2015
NPI Last Update On:
09 Sep, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Richard Berg are as mentioned below.
License Number
Specialization
State
Status
D3208
General Practice Dentistry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Richard Berg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D3208
Other
Oregon
DENTAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3550 Sw Bond Ave, Portland, Oregon
Zip:
97239-4507
Phone Number:
503-688-6719
Patients can reach Kenneth Richard Berg at 3550 Sw Bond Ave, Portland, Oregon or can call to book an appointment on 503-688-6719. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.