MARISSA BERGTHOLD, DDS
Oral and Maxillofacial Surgery (Dentist) · OVERLAND PARK, KS
Individual Active Opted out of Medicare NPI 1265920086
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | 62193 | KS |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2024026317 | MO |
Medicare eligibility
Opted out of Medicare (Oral Surgery), effective 2023-08-03 through 2027-08-03.
Other Oral and Maxillofacial Surgery (Dentist) providers in Kansas
- NPI 1588501084
- NPI 1396741781
- NPI 1073258414
- NPI 1063449544
- NPI 1861368979
- NPI 1518932300
- NPI 1487520375
- NPI 1396552519
See all Oral and Maxillofacial Surgery (Dentist) providers in Kansas →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.