Dental Town Ltd
NPI 1255294914ActiveOrganization· Dentist, General Practice· Berwyn, IL
Dentist, General Practice in Berwyn, Illinois, registered in NPPES in December 2025, part of Dental Town. The authorized official on file is Samantha Gonzalez, Vp Of Operations.
Overview
| NPI | 1255294914 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Town |
| NPI issued | Dec 8, 2025 |
| Last updated in NPPES | Dec 8, 2025 |
| Certified by provider | Dec 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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