BERKELEY DENTAL CLINIC
NPI 1366466930
Clinic/Center - Dental in Berkeley, IL

Active since July 27, 2006
5646 SAINT CHARLES RD, SUITE C, BERKELEY, IL 60163(708) 544-7474 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berkeley Dental Clinic NPPES

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

BERKELEY DENTAL CLINIC (NPI 1366466930) is a healthcare organization registered as a dental in Berkeley, Illinois and active in the NPI registry since July 2006. The organization lists Gary Robert Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1366466930
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGARY R. JOHNSON, D.D.S., P.C.
Location Address5646 SAINT CHARLES RD, SUITE CBerkeley, IL 60163-1148
Mailing Address5646 Saint Charles Rd, Suite CBerkeley, IL 60163-1148 · (708) 544-7474
Organization SubpartNo
Authorized OfficialGary Robert JohnsonPresident · (708) 544-7474
Enumeration DateJuly 27, 2006
Last NPPES UpdateOctober 26, 2015
NPI 1366466930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5646 SAINT CHARLES RD, Berkeley, IL 60163

Other Names 1

Doing Business AsBerkeley Dental Clinic

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163
Voluntary or Charitable
5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163
Dentist (General Practice)
5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163
Dentist (General Practice)
5646 SAINT CHARLES RD, SUITE C
BERKELEY, IL 60163

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 Gary R. Johnson, D.D.S., P.C.'s NPI number?

The NPI number for Gary R. Johnson, D.D.S., P.C. is 1366466930. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Berkeley Dental Clinic.

Where is Gary R. Johnson, D.D.S., P.C. located?

Gary R. Johnson, D.D.S., P.C. is located at 5646 Saint Charles Rd Suite C, Berkeley, IL 60163. The listed phone number is (708) 544-7474.

What is Gary R. Johnson, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Gary R. Johnson, D.D.S., P.C. was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.