Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shelley Danielle Wade Berganske, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922490333

Dr. Shelley Danielle Wade Berganske, DMD is a Student in an Organized Health Care Education/Training Program in Suwanee, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1380 Peachtree Industrial Blvd Ste 150
Suwanee, GA 30024-3795
Phone: (770) 614-8914
Fax: (770) 614-8917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 John Wesley Gilbert Dr, Augusta, GA 30912-1000 — (706) 712-2551

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN014966 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DN014966 (GA)

Record details

NPI number1922490333
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 21, 2015
Last updated in NPPESJuly 21, 2022

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