BRITE DENTAL BERWYN, P.C. (NPI# 1720332620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720332620 |
| Entity Type | Organization |
| Organization Name | BRITE DENTAL BERWYN, P.C. |
| Practice Address |
6301 Cermak Rd Berwyn IL 60402-2367 |
| Practice Telephone | 7089567516 |
| Practice Fax Number | 7089567517 |
| Mailing Telephone | 7089567516 |
| Mailing Fax Number | 7089567517 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | DR. FADI M AQEL (PRESIDENT) |
| Authorized Official Telephone | 7084394655 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 01906128 | IL | Dental Providers |
| Street Address |
6301 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123386 | Robert John Dollfus IIi | Dentist | 1201 W Swedesford Rd, Berwyn, PA 19312-1070 | 2019-06-14 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1730666975 | Scott Michael Rysz | Dentist | 6725 Stanley Ave Ste 2, Berwyn, IL 60402-3157 | 2018-07-20 |
| 1225574494 | Michael Auriemma | Dentist | 7034 Cermak Rd, Berwyn, IL 60402-2149 | 2017-01-12 |
| 1588019012 | Dr. Salerno Family Dental | Dentist | 6436 Cermak Rd, Berwyn, IL 60402-2310 | 2016-05-03 |
| 1346624624 | Metropolitan Dental | Dentist | 7034 Cermak Rd Ste 3, Berwyn, IL 60402-2156 | 2015-07-16 |
| 1669881678 | Garrett Mcdowell | Dentist | 1301 Lancaster Ave Ste 208, Berwyn, PA 19312-1290 | 2014-08-05 |
| 1790104966 | Patrick Leonard | Dentist | 2911 Harlem Ave, Berwyn, IL 60402-2827 | 2014-04-15 |
| 1073808259 | Clara Lucia Nunez Romero | Dentist | 6721 W Cermak Rd, Berwyn, IL 60402 | 2011-06-15 |
| 1942590500 | Berwyn Dental Group | Dentist | 6218 Cermak Rd, Berwyn, IL 60402-2322 | 2011-04-15 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.