MEDICARE: MICHAEL BERGLASS, DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1871426122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL BERGLASS, DDS PLLC

Provider Business Mailing Address
First Line	:	1840 FOREST HILL BLVD STE 204
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6059
Country	:	US
Telephone Number	:	704-254-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 FOREST HILL BLVD STE 204
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6059
Country	:	US
Telephone Number	:	704-254-9500
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	MICHAEL ELLIS BERGLASS
Credential	:
Telephone Number	:	704-254-9500

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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