| Bewick Dental Corp | |
|
3410 Willowcreek Rd Portage IN 46368-5089 | |
| (219) 762-5288 | |
| (219) 763-3369 |
| Full Name | Bewick Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3410 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Robert Kent Bewick (OWNER) |
| Authorized Official Contact | 2197625288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bewick Dental Corp 3410 Willowcreek Rd Portage IN 46368-5089 Ph: (219) 762-5288 | Bewick Dental Corp 3410 Willowcreek Rd Portage IN 46368-5089 Ph: (219) 762-5288 |
| NPI Number | 1295930196 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295930196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008296A (Indiana) | Primary |
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