Bergen Prosthodontics LLC
Dentist, Prosthodontics in Montvale, New Jersey
1043088396- Practice location
- 102 Chestnut Ridge RD Ste 201, Montvale, NJ 07645-1856
- Phone
- 201-582-2264
- Fax
- —
- Last updated
- December 15, 2023
Bergen Prosthodontics LLC is a healthcare organization based in Montvale, NJ. Bergen Prosthodontics LLC practices in Montvale, NJ. The NPI Number for Bergen Prosthodontics LLC is 1043088396. The current practice location address for Bergen Prosthodontics LLC is 102 Chestnut Ridge RD Ste 201, Montvale, NJ 07645-1856 and can be reached out via phone at 201-582-2264.
Provider Profile Details
- NPI Number
- 1043088396
- Provider Name
- Bergen Prosthodontics LLC
- Provider Entity Type
- Organization
- Address
- 102 Chestnut Ridge RD Ste 201, Montvale, NJ 07645-1856
- Phone Number
- 201-582-2264
- Primary Taxonomy
- Dentist, Prosthodontics · 1223P0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Sung Eun Kim, DMD, MMSC · Ceo/Dentist · 201-582-2264
- Other Names
- Montvale Prosthodontics (Doing Business As)
- Provider Enumeration Date
- December 15, 2023
- Last Update Date
- December 15, 2023
- Certification Date
- December 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 102 Chestnut Ridge RD Ste 201
Montvale, NJ 07645-1856 - City
- Montvale
- State
- New Jersey
- Zip
- 07645-1856
- Phone Number
- 201-582-2264
Provider Business Mailing Address Details
- Address
- 22 Garnet Dr
Woodland Park, NJ 07424-4215 - City
- Woodland Park
- State
- NJ
- Zip
- 07424-4215
- Phone Number
- 201-988-5633
License Information
- Taxonomy
- Dentist, Prosthodontics · 1223P0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Prosthodontics LLC?
The NPI number of Bergen Prosthodontics LLC is 1043088396. It was assigned on December 15, 2023 and is currently active in the NPPES registry.
What is the specialty of Bergen Prosthodontics LLC?
Bergen Prosthodontics LLC is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X).
Where does Bergen Prosthodontics LLC practice?
The practice location is 102 Chestnut Ridge RD Ste 201, Montvale, NJ 07645-1856. The office can be reached at 201-582-2264 (phone).
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 1043088396 directly on the NPPES registry website.