Active NPIOrganization

Dental Professionals Of Fair Lawn PA

Dentist, General Practice in Fair Lawn, New Jersey

NPI Number1275781890
Practice location
10-06 Saddle River RD, Fair Lawn, NJ 07410-5732
Fax
201-797-1558
Last updated
April 28, 2017

Dental Professionals Of Fair Lawn PA is a healthcare organization based in Fair Lawn, NJ. Dental Professionals Of Fair Lawn PA practices in Fair Lawn, NJ. The NPI Number for Dental Professionals Of Fair Lawn PA is 1275781890 and holds a License No. 22DI00918500 (NJ). The current practice location address for Dental Professionals Of Fair Lawn PA is 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732 and can be reached out via phone at 201-797-1555 and via fax at 201-797-1558.

Provider Profile Details

NPI Number
1275781890
Provider Name
Dental Professionals Of Fair Lawn PA
Provider Entity Type
Organization
Address
10-06 Saddle River RD, Fair Lawn, NJ 07410-5732
Phone Number
201-797-1555
Fax Number
201-797-1558
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Jody Z. Bardash, DMD · Dentist · 201-797-1555
Provider Enumeration Date
September 8, 2008
Last Update Date
April 28, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
10-06 Saddle River RD
Fair Lawn, NJ 07410-5732
Zip
07410-5732
Phone Number
201-797-1555
Fax Number
201-797-1558
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
10-06 Saddle River RD
Fair Lawn, NJ 07410-5732
City
Fair Lawn
State
NJ
Zip
07410-5732
Phone Number
201-797-1555
Fax Number
201-797-1558

License Information

License Number (1)
22DI00918500
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02340000
License State (2)
NJ
Taxonomy (2)
Dentist, General Practice · 1223G0001X
License Number (3)
22DI01694700
License State (3)
NJ
Taxonomy (3)
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 Dental Professionals Of Fair Lawn PA?

The NPI number of Dental Professionals Of Fair Lawn PA is 1275781890. It was assigned on September 8, 2008 and is currently active in the NPPES registry.

What is the specialty of Dental Professionals Of Fair Lawn PA?

Dental Professionals Of Fair Lawn PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI00918500.

Where does Dental Professionals Of Fair Lawn PA practice?

The practice location is 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732. The office can be reached at 201-797-1555 (phone) or 201-797-1558 (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 1275781890 directly on the NPPES registry website.

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