Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW EVO BERTAGNA, DMD, MD
Active Sole ProprietorDR. ANDREW EVO BERTAGNA, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in ST CHARLES, Illinois. NPI 1790345262 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ST CHARLES, IL
Registration Details
- NPI Number
- 1790345262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2019 (6.9698727863994 yrs)
- Last Updated
- Jun 23, 2025
- Licenses
-
019032240 (IL)019032240 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 COURTYARD DRST CHARLES, IL, 601741463Browse IL providers · Browse ZIP 60174
- Phone
- 6303777077
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.