Westwyn Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WESTWYN DENTAL LLC

Practice address

6901 Stanley Ave
Berwyn, IL 60402-2919

Phone

(708) 795-1255

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gary Roger Clemens, DDS

Title

Dentist

Phone

(708) 795-1255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1831749282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022919",
            "telephone_number": "708-795-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022919",
            "telephone_number": "708-795-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTWYN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-795-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Wenner
• Larissa Wereszczak
• West Suburban Medical Center
• West Suburban Radiology & Ultrasound PC
• Alyssa Candace Westmoreland
• Suzanne Elizabeth Wey, RSA
• Joanne Wheaton, FNP-C
• David H Whitney, MD
• Jill Gerelle Whitney, RD, LDN, CNSD
• Aaron J Wielenberg, MD

• 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 Sep 18, 2019; 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.