JENNIFER E BERGSTROM DDS
NPI 1003915174
Dentist - General Practice in Madison, WI

Q: What is Jennifer Bergstrom's NPI number?

The NPI number for Jennifer Bergstrom is 1003915174. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Jennifer E Modahl Dds.

Q: What is Jennifer Bergstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 22, 2006

413 W WASHINGTON AVE, MADISON, WI 53703(608) 251-8790(608) 251-0242 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jennifer E Bergstrom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER E BERGSTROM DDS (NPI 1003915174) is an individual general practice provider in Madison, Wisconsin, licensed in Wisconsin (5169) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1003915174

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJENNIFER E BERGSTROMCredential: DDS

Location Address413 W WASHINGTON AVEMadison, WI 53703-2703

Mailing Address413 W Washington AveMadison, WI 53703-2703 · (608) 251-8790 · Fax (608) 251-0242

Phone(608) 251-8790

Fax(608) 251-0242

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003915174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5169

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

413 W WASHINGTON AVE, Madison, WI 53703

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Other Names 1

Former Name (1)Jennifer E Modahl Dds

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTISTRY FOR MADISON, LLC

Dentist (General Practice)

413 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 251-8790

JOHN C HAZEN II DDS

Dentist (General Practice)

413 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 251-8790

DR. SARAH JEAN KARLS D.D.S.

Dentist (General Practice)

413 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 251-8790

ANDREW BRODEK DMD

Dentist (General Practice)

413 W WASHINGTON AVE
MADISON, WI 53703

Dane County (608) 251-8790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bergstrom's NPI number?

The NPI number for Jennifer Bergstrom is 1003915174. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Jennifer E Modahl Dds.

Where is Jennifer Bergstrom located?

Jennifer Bergstrom practices at 413 W Washington Ave, Madison, WI 53703. The listed phone number is (608) 251-8790.

What is Jennifer Bergstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jennifer Bergstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.