IndividualActive
Bethany Bergstad, RDH
NPI 1487936480 · Dental Hygienist · Brook Park, MN
Provider details
- NPI number
- 1487936480
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- H8918 (MN)
Specialties & taxonomies
Dental Providers
Practice location
1619 Mallard Rd
Brook Park, MN 55007-4712
Phone: (218) 464-2962
Approximate (ZIP-level) locationGet directions
Mailing address
1619 Mallard Rd
Brook Park, MN 55007-4712
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2011-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.