DR. Shane Daniel Bergo, D.D.S., M.S.D.
NPI #1023137122 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1023137122
- Entity Type
- Individual
- Name
- DR. Shane Daniel Bergo, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 8, 2007
Practice Location
- Address
- 730 WHALERS WAY
- Address 2
- SUITE 300
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-7585
- Phone
- (970) 229-1404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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