OrganizationActive
Bewick Dental Corp
NPI 1295930196 · General Practice Dentistry · Portage, IN
Provider details
- NPI number
- 1295930196
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Robert Bewick, Owner(219) 762-5288
- License
- 12008296A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3410 Willowcreek Rd
Portage, IN 46368-5089
Phone: (219) 762-5288
Fax: (219) 763-3369
Street-level locationGet directions
Mailing address
3410 Willowcreek Rd
Portage, IN 46368-5089
Registry dates
- Enumerated
- 2007-06-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.