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34TH STREET DENTAL CARE
NPI 1124358551
Dentist - General Practice in Berwyn, IL

Active since January 07, 2010
6411 34TH ST, BERWYN, IL 60402(708) 484-6576(708) 484-0843 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 34th Street Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

34TH STREET DENTAL CARE (NPI 1124358551) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since January 2010. The organization lists Anthony A Brucci, Owner, as its authorized official.

NPPES Registry Identity

NPI1124358551
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name34TH STREET DENTAL CARE
Location Address6411 34TH STBerwyn, IL 60402-3717
Mailing Address6411 34th StBerwyn, IL 60402-3717 · (708) 484-6576 · Fax (708) 484-0843
Phone(708) 484-6576
Fax(708) 484-0843
Organization SubpartNo
Authorized OfficialAnthony A BrucciOwner · (708) 484-6576
Enumeration DateJanuary 7, 2010
✔ NPI 1124358551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019023728
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6411 34TH ST, Berwyn, IL 60402
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Other Names 1

Doing Business As34th Street Dental Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTHA C. VILLASENOR D.D.S.
Dentist
6411 34TH ST
BERWYN, IL 60402
Cook County (708) 484-6576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 34th Street Dental Care's NPI number?

The NPI number for 34th Street Dental Care is 1124358551. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is 34th Street Dental Care located?

34th Street Dental Care is located at 6411 34th St, Berwyn, IL 60402. The listed phone number is (708) 484-6576.

What is 34th Street Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does 34th Street Dental Care accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list 34th Street Dental Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 34th Street Dental Care was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.