Healthcare Provider Details

I. General information

NPI: 1871426122
Provider Name (Legal Business Name): MICHAEL BERGLASS, DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 FOREST HILL BLVD STE 204
WEST PALM BEACH FL
33406-6059
US

IV. Provider business mailing address

1840 FOREST HILL BLVD STE 204
WEST PALM BEACH FL
33406-6059
US

V. Phone/Fax

Practice location:
  • Phone: 704-254-9500
  • Fax:
Mailing address:
  • Phone: 704-254-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ELLIS BERGLASS
Title or Position: OWNER/DENTIST
Credential:
Phone: 704-254-9500