DR. GREGORY AMADEO BERTAGNA D.D.S. NPI 1164439907

NPI Information

  • NPI: 1164439907
  • Provider Name: DR. GREGORY AMADEO BERTAGNA, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8383 BELMONT AVE
    SUITE 200
    RIVER GROVE, IL
    ZIP 60171
  • Phone: (708) 453-1110

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NPI Details

DR. Gregory Amadeo Bertagna, D.D.S. is a general practice dentist in River Grove, IL. The provider is 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. DR. Gregory Amadeo Bertagna, D.D.S. NPI is 1164439907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8383 BELMONT AVE
SUITE 200
RIVER GROVE, IL
ZIP 60171-000
Phone: (708) 453-1110
Fax: (708) 452-0157

The NPI 1164439907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 3/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019017754ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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