Berwyn Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BERWYN DENTAL INC.

Practice address

6218 Cermak Rd
Berwyn, IL 60402-2322

Phone

(708) 317-5150

NPI assigned

Aug 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ngoc Bich Nguyen, DDS

Title

President

Phone

(773) 369-5536

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1225518921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022322",
            "telephone_number": "708-317-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERWYN DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOC BICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-369-5536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Anne Berndt, M.D.
• Allen C. Bernthal, M.D.
• John Berry, MD
• Berwyn Dental Clinic
• Berwyn Dental Group
• Berwyn Diagnostic Imaging LLC
• Berwyn Emergency Physicians, LLP
• Berwyn Emergency Services SC
• Berwyn Family Dental
• Berwyn Family Dental Center, Inc

• General Practice Dentistry in Berwyn, IL
• Providers in Berwyn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.