Active NPIIndividual provider

Jason M Suss, DMD

Dentist in Bergenfield, New Jersey

NPI Number1104992361
Practice location
179 S Prospect Ave, Bergenfield, NJ 07621-2640
Fax
—
Last updated
July 8, 2007

Jason M Suss is a Dentist based in Bergenfield, NJ. Jason M Suss practices in Bergenfield, NJ and has the professional credentials of DMD. The NPI Number for Jason M Suss is 1104992361 and holds a License No. DI02210300 (NJ). The current practice location address for Jason M Suss is 179 S Prospect Ave, Bergenfield, NJ 07621-2640 and can be reached out via phone at 201-384-2880.

Provider Profile Details

NPI Number
1104992361
Provider Name
Jason M Suss
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
179 S Prospect Ave, Bergenfield, NJ 07621-2640
Phone Number
201-384-2880
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 S Prospect Ave
Bergenfield, NJ 07621-2640
Zip
07621-2640
Phone Number
201-384-2880
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
1684 Hanover St
Teaneck, NJ 07666-2222
City
Teaneck
State
NJ
Zip
07666-2222
Phone Number
201-907-0099

License Information

License Number
DI02210300
License State
NJ
Taxonomy
Dentist · 122300000X · 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 Jason M Suss, DMD?

The NPI number of Jason M Suss, DMD is 1104992361. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Jason M Suss, DMD?

Jason M Suss, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI02210300.

Where does Jason M Suss, DMD practice?

The practice location is 179 S Prospect Ave, Bergenfield, NJ 07621-2640. The office can be reached at 201-384-2880 (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 1104992361 directly on the NPPES registry website.

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