Bedford Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027470 Issued in IL

Legal business name

BEDFORD DENTAL LLC

Practice address

7250 S Cicero Ave
Chicago, IL 60629-5849

Phone

(312) 810-2948

NPI assigned

Oct 11, 2012

Organization subpart

No

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

Authorized official

Name

Sinan Razzak, DMD

Title

President

Phone

(312) 810-2948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1871845131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295849",
            "telephone_number": "312-810-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295849",
            "telephone_number": "312-810-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "RAZZAK",
        "authorized_official_first_name": "SINAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-810-2948",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yishak Bedaso
• Alyse Renae Bedell, PHD
• Mara Teresa Bedell
• Sarah Catherine Bedell, L.AC
• Laurie S Bederow, LCSW
• Ritu Bedi, PHD
• Sorab Bedi
• Ketan S Bedmutha, DMD
• Jessica Bednar
• Ewa A Bednarczyk, LCSW

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Oct 11, 2012; 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.