DR. MALCOLM R. BERG D.M.D.
NPI 1396745493
Dentist - General Practice in Luling, TX

Active since July 29, 2005
409 E CROCKETT ST, LULING, TX 78648(830) 875-3521(830) 875-2212 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Malcolm R. Berg D.m.d. NPPES

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

DR. MALCOLM R. BERG D.M.D. (NPI 1396745493) is an individual general practice provider in Luling, Texas, licensed in Texas (17463) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1396745493
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MALCOLM R. BERGCredential: D.M.D.
Location Address409 E CROCKETT STLuling, TX 78648-2601
Mailing Address3601 Leadville DrAustin, TX 78749-6938 · (512) 291-0230 · Fax (512) 291-0287
Fax(830) 875-2212
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateJune 9, 2008
NPI 1396745493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 17463
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.

409 E CROCKETT ST, Luling, TX 78648

Other Identifiers 4

Other806227TX · United Concordia
Other1343876TX · United Concordia
Medicaid0094708-01TX
Medicaid0094708-02TX

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
409 E CROCKETT ST
LULING, TX 78648
Dentist (Pediatric Dentistry)
409 E CROCKETT ST
LULING, TX 78648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396745493, enumerated as an "individual" on July 29, 2005.

The provider is located at 409 E CROCKETT ST LULING, TX 78648 and the phone number is (830) 875-3521.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.