Bewick Dental Corp
Organization Active NPI General Practice Dentistry · Portage, IN
NPI 1295930196 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295930196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12008296A (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Kent Bewick, D.D.S.
- Title
- Owner
- Phone
- (219) 762-5288
National Provider Directory
Locations
3410 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-6753
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 12008296A | IN | Yes |
Addresses
Primary practice location
3410 Willowcreek Rd
Portage, IN 46368-5089
Mailing address
3410 Willowcreek Rd
Portage, IN 46368-5089
Phone (219) 762-5288
Other providers in Portage, IN
- Aaron M Beck
- Michael M Bermudez
- Sara Elizabeth Berry
- Better Life MD PC
- Jennifer Betts-Hudson
- Patricia Evelyn Biel
- Glendia Biggs
- Joelynn Bigheart
- Clark Tanner Bilbrey
- Paula A Bisseker
All providers in Portage, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.