Dr. Gary A. Eggert, d.d.s.
Dentist in Berlin, WI. Individual provider (NPI-1).
NPI number1619083698
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619083698
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary A. Eggert
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 500-2079 | WI | Yes |
Practice location
169 Memorial DrBerlin, WI 54923-1241
Phone 920-361-4008 · Fax 920-361-6111
Mailing address
169 Memorial DrBerlin, WI 54923-1241
Phone 920-361-4008 · Fax 920-361-6111
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