Dr. Glenn F. Berg , DDS
Dentist - General Practice • Snohomish, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Berg has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Glenn Berg, DDS was a registered Dentist - General Practice practicing in Snohomish, WA. Throughout an active medical career spanning 19 years, Dr. Berg provided care at the practice location at 1830 BICKFORD AVE STE 202 until profile deactivation on 2025-04-03.
Practice Location & Contact Primary Location
1830 Bickford Ave Ste 202
Snohomish, WA 982901750
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Snohomish, WA
Practicing in Snohomish, WA (3345 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 03, 2025
NPI status registered as active in NPPES database
Registered at 1830 BICKFORD AVE STE 202, SNOHOMISH, WA 982901750 (Tel: 3605681198)
Registered at 1830 BICKFORD AVE STE 202, SNOHOMISH, WA 982901750 (Tel: 3605681198)
Recorded as GLENN BERG, DDS
Dentist (License #5116 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1830 Bickford Ave Ste 202
Snohomish, WA 982901750
Phone: 3605681198
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