Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARIEL TAVARES OLIVEIRA PRADO BERGAMO
NPI 1164337630
Dentist - General Practice in Ann Arbor, MI

Q: What is Mariel Prado Bergamo's NPI number?

The NPI number for Mariel Prado Bergamo is 1164337630. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Q: What is Mariel Prado Bergamo's specialty?

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

Active since August 18, 2026

1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109(734) 763-1375 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mariel Tavares Oliveira Prado Bergamo NPPES

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

MARIEL TAVARES OLIVEIRA PRADO BERGAMO (NPI 1164337630) is an individual general practice provider in Ann Arbor, Michigan, licensed in Michigan (2952000895) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1164337630

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMARIEL TAVARES OLIVEIRA PRADO BERGAMO

Location Address1011 N UNIVERSITY AVEAnn Arbor, MI 48109-1078

Mailing Address1011 N University AveAnn Arbor, MI 48109-1078 · (734) 763-1375

Phone(734) 763-1375

Sole ProprietorNo

Enumeration DateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1164337630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2952000895

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.

1011 N UNIVERSITY AVE, Ann Arbor, MI 48109

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DAMIEN S KAISER DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 647-4166

NICK SIMONE DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 763-1375

SUMANT RAM DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 763-1375

MICHAEL E RAZZOOG DDS

Dentist

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 647-4177

HAVVA Z ERTUGRUL DDS

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 764-1523

ASHLEY NEMEC DMD

Dentist

1011 N UNIVERSITY AVE, ROOM 2008, SPC 1078
ANN ARBOR, MI 48109

Washtenaw County (734) 615-8606

BRUNO CAVALCANTI DDS

Dentist

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 548-2743

CHU CHUN HSIAO

Dentist (General Practice)

1011 N UNIVERSITY AVE
ANN ARBOR, MI 48109

Washtenaw County (734) 764-1523

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 Mariel Prado Bergamo's NPI number?

The NPI number for Mariel Prado Bergamo is 1164337630. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Mariel Prado Bergamo located?

Mariel Prado Bergamo practices at 1011 N University Ave, Ann Arbor, MI 48109. The listed phone number is (734) 763-1375.

What is Mariel Prado Bergamo'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 Mariel Prado Bergamo was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.