Active NPIOrganization

Bergen Dental Practice, P.c.

Dentist, General Practice in Bergenfield, New Jersey

NPI Number1033378575
Practice location
21 Magnolia St, Bergenfield, NJ 07621-3812
Fax
201-385-0842
Last updated
June 9, 2008

Bergen Dental Practice, P.c. is a healthcare organization based in Bergenfield, NJ. Bergen Dental Practice, P.c. practices in Bergenfield, NJ. The NPI Number for Bergen Dental Practice, P.c. is 1033378575 and holds a License No. 20895 (NJ). The current practice location address for Bergen Dental Practice, P.c. is 21 Magnolia St, Bergenfield, NJ 07621-3812 and can be reached out via phone at 201-385-0013 and via fax at 201-385-0842.

Provider Profile Details

NPI Number
1033378575
Provider Name
Bergen Dental Practice, P.c.
Provider Entity Type
Organization
Address
21 Magnolia St, Bergenfield, NJ 07621-3812
Phone Number
201-385-0013
Fax Number
201-385-0842
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Mohammed Mansoorul Imam, DDS · President · 201-385-0013
Provider Enumeration Date
June 9, 2008
Last Update Date
June 9, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Magnolia St
Bergenfield, NJ 07621-3812
Zip
07621-3812
Phone Number
201-385-0013
Fax Number
201-385-0842
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
21 Magnolia St
Bergenfield, NJ 07621-3812
City
Bergenfield
State
NJ
Zip
07621-3812
Phone Number
201-385-0013
Fax Number
201-385-0842

License Information

License Number
20895
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bergen Dental Practice, P.c.?

The NPI number of Bergen Dental Practice, P.c. is 1033378575. It was assigned on June 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Bergen Dental Practice, P.c.?

Bergen Dental Practice, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 20895.

Where does Bergen Dental Practice, P.c. practice?

The practice location is 21 Magnolia St, Bergenfield, NJ 07621-3812. The office can be reached at 201-385-0013 (phone) or 201-385-0842 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033378575 directly on the NPPES registry website.

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