Bewick Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008296A Issued in IN

Legal business name

BEWICK DENTAL CORP

Practice address

3410 Willowcreek Rd
Portage, IN 46368-5089

Phone

(219) 762-5288

Fax

(219) 763-3369

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kent Bewick, D.D.S.

Title

Owner

Phone

(219) 762-5288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295930196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685089",
            "telephone_number": "219-762-5288",
            "fax_number": "219-763-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685089",
            "telephone_number": "219-762-5288",
            "fax_number": "219-763-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWICK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEWICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-762-5288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron M Beck, PHARM.D
• Michael M Bermudez, MD
• Sara Elizabeth Berry, FNP
• Better Life MD PC
• Jennifer Betts-Hudson, EMTB
• Patricia Evelyn Biel, FNP-BC
• Glendia Biggs
• Joelynn Bigheart
• Clark Tanner Bilbrey, PT, DPT, ATC
• Paula A Bisseker, OTR

• General Practice Dentistry in Portage, IN
• Providers in Portage, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.