IndividualActive
Andrew Bertagna, DMD, MD
NPI 1790345262 · Oral and Maxillofacial Surgery (Dentist) · St Charles, IL
Provider details
- NPI number
- 1790345262
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019032240 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
605 Courtyard Dr
St Charles, IL 60174-1463
Phone: (630) 377-7077
Approximate (ZIP-level) locationGet directions
Mailing address
825 Seers Dr
Schaumburg, IL 60173-6198
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.