MISS BETHANY ANN BERGSTAD RDH
NPI 1487936480
Dental Hygienist in Brook Park, MN

Q: What is Bethany Bergstad's NPI number?

The NPI number for Bethany Bergstad is 1487936480. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Q: What is Bethany Bergstad's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Bergstad was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 15, 2011

1619 MALLARD RD, BROOK PARK, MN 55007(218) 464-2962 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Bethany Ann Bergstad Rdh NPPES

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

MISS BETHANY ANN BERGSTAD RDH (NPI 1487936480) is an individual dental hygienist in Brook Park, Minnesota, licensed in Minnesota (H8918) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1487936480

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMISS BETHANY ANN BERGSTADCredential: RDH

Location Address1619 MALLARD RDBrook Park, MN 55007-4712

Mailing Address1619 Mallard RdBrook Park, MN 55007-4712 · (218) 464-2962

Phone(218) 464-2962

Sole ProprietorNo

Enumeration DateSeptember 15, 2011

✔ NPI 1487936480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MN · H8918

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

1619 MALLARD RD, Brook Park, MN 55007

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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 Bethany Bergstad's NPI number?

The NPI number for Bethany Bergstad is 1487936480. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Bethany Bergstad located?

Bethany Bergstad practices at 1619 Mallard Rd, Brook Park, MN 55007. The listed phone number is (218) 464-2962.

What is Bethany Bergstad's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Bethany Bergstad was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.