Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Graylon Robert Berg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568155828

Graylon Robert Berg is a Student in an Organized Health Care Education/Training Program in Mission, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

117 E Griffin Pkwy
Mission, TX 78572-2909
Phone: (956) 413-7541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 39575 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568155828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address1043 N Hidden Cove Ln, Lehi, UT 84043-3609

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