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DR. SHELLEY DANIELLE WADE BERGANSKE D.M.D.
NPI 1922490333
Dentist - Pediatric Dentistry in Suwanee, GA

Active since February 21, 2015
1380 PEACHTREE INDUSTRIAL BLVD STE 150, SUWANEE, GA 30024(770) 614-8914(770) 614-8917 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 5, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Shelley Danielle Wade Berganske D.m.d. NPPES

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

DR. SHELLEY DANIELLE WADE BERGANSKE D.M.D. (NPI 1922490333) is an individual pediatric dentistry provider in Suwanee, Georgia, licensed in Georgia (DN014966) and active in the NPI registry since February 2015. She maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1922490333
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SHELLEY DANIELLE WADE BERGANSKECredential: D.M.D.
Location Address1380 PEACHTREE INDUSTRIAL BLVD STE 150Suwanee, GA 30024-3795
Mailing Address1380 Peachtree Industrial Blvd, #150Suwanee, GA 30024 · (770) 614-8914
Phone(770) 614-8914
Fax(770) 614-8917
Sole ProprietorYes
Enumeration DateFebruary 21, 2015
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1922490333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN014966
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DN014966 (GA)
1380 PEACHTREE INDUSTRIAL BLVD STE 150, Suwanee, GA 30024
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Secondary Practice Location 1

Location 11430 John Wesley Gilbert DrAugusta, GA 30912-1000 · Phone (706) 712-2551

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

GA SPECIALTY DENTAL SERVICES II, PC
Dentist (Pediatric Dentistry)
1380 PEACHTREE INDUSTRIAL BLVD STE 150
SUWANEE, GA 30024
Gwinnett County (770) 614-8914

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 Shelley Berganske's NPI number?

The NPI number for Shelley Berganske is 1922490333. It was assigned to this individual provider in the NPPES registry on February 21, 2015.

Where is Shelley Berganske located?

Shelley Berganske practices at 1380 Peachtree Industrial Blvd Ste 150, Suwanee, GA 30024. The listed phone number is (770) 614-8914.

What is Shelley Berganske's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Shelley Berganske accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Shelley Berganske as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelley Berganske was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.