BERWYN DENTAL CLINIC
NPI 1316675176
Dentist - General Practice in Berwyn, IL

Active since August 10, 2022
6436 CERMAK RD, BERWYN, IL 60402(708) 317-5264(708) 317-5271 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 10, 2022 (2 updates tracked since 2022).

About Berwyn Dental Clinic NPPES

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

BERWYN DENTAL CLINIC (NPI 1316675176) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since August 2022. The organization lists Yaqin Dawoud, Owner, as its authorized official.

NPPES Registry Identity

NPI1316675176
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBERWYN DENTAL CLINIC
Location Address6436 CERMAK RDBerwyn, IL 60402-2310
Mailing Address1600 E 93rd StChicago, IL 60617-3607 · (708) 351-4562 · Fax (773) 530-7550
Fax(708) 317-5271
Organization SubpartNo
Authorized OfficialYaqin DawoudOwner · (708) 351-4562
Enumeration DateAugust 10, 2022
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1316675176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
6436 CERMAK RD, Berwyn, IL 60402

Other Identifiers 2

Other1487110029IL · Npi
Other1972922102IL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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.

Dentist
6436 CERMAK RD
BERWYN, IL 60402

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 Berwyn Dental Clinic's NPI number?

The NPI number for Berwyn Dental Clinic is 1316675176. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Berwyn Dental Clinic located?

Berwyn Dental Clinic is located at 6436 Cermak Rd, Berwyn, IL 60402. The listed phone number is (708) 317-5264.

What is Berwyn Dental Clinic's specialty?

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

What insurance does Berwyn Dental Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Berwyn Dental Clinic 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 Berwyn Dental Clinic was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.