SearchOhio207LP3000X

Dustin Bergman

NPI 1477143949 · on the registry since 2021

Practice

Address
1 Childrens Plz
Dayton, OH 45404
Phone
(937) 641-3477
Fax
(937) 641-5410
Organisation at this address
Robert Bloom Optical
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S Hospital
Dayton Children'S Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
621

Additional practice sites

  • 3333 W Tech Rd, Miamisburg, OH

Registry record

Primary taxonomy
207LP3000X
207LP3000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-15

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 Ohio