Search › Kansas › 1223S0112X
Marissa Bergthold, DDS
NPI 1265920086 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7701 W 119th St
Overland Park, KS 66213 - Phone
- (913) 529-5999
- Fax
- (913) 529-5995
- Organisation at this address
- Newby Oral Surgery
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 19045 E Valley View Pkwy Ste H, Independence, MO
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas