National Provider Identifier
Kelsey Ann Bergeron
Kelsey Ann Bergeron is listed in the NPPES registry with a primary specialty of Dentist in Tonawanda, NY and a listed phone number of (716) 831-2277.
Profile Overview
- NPI
- 1154914216
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- February 18, 2021
- Last Updated
- September 12, 2022
Practice Location
- 1730 Niagara Falls Blvd Ste 300
- Tonawanda, NY 14150-7531
Phone: (716) 831-2277
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1154914216
- Entity Type
- Individual
- Last Name
- Bergeron
- First Name
- Kelsey
- Middle Name
- Ann
- Mailing Street Address
- 1730 Niagara Falls Blvd Ste 300
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-7531
- Mailing Country
- US
- Mailing Phone
- (716) 831-2277
- Practice Street Address
- 1730 Niagara Falls Blvd Ste 300
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-7531
- Practice Country
- US
- Practice Phone
- (716) 831-2277
- Enumeration Date
- February 18, 2021
- Last Updated
- September 12, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 12, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)