IndividualActive
Bryan Bergens, DDS
NPI 1942646617 · Periodontics · Daytona Beach, FL
Provider details
- NPI number
- 1942646617
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN13806 (FL)
Specialties & taxonomies
Dental Providers
Practice location
724 S Beach St
Suite 4
Daytona Beach, FL 32114-5441
Phone: (386) 258-2213
Fax: (386) 253-7943
Approximate (ZIP-level) locationGet directions
Mailing address
724 S Beach St
Daytona Beach, FL 32114-5441
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.