Bergen Passaic Periodontal Group, PA
Dentist, Periodontics in Fair Lawn, New Jersey
1437162807- Practice location
- 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434
- Phone
- 201-791-2200
- Fax
- 201-791-6025
- Last updated
- August 22, 2020
Bergen Passaic Periodontal Group, PA is a healthcare organization based in Fair Lawn, NJ. Bergen Passaic Periodontal Group, PA practices in Fair Lawn, NJ. The NPI Number for Bergen Passaic Periodontal Group, PA is 1437162807 and holds a License No. D11585 (NJ). The current practice location address for Bergen Passaic Periodontal Group, PA is 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434 and can be reached out via phone at 201-791-2200 and via fax at 201-791-6025.
Provider Profile Details
- NPI Number
- 1437162807
- Provider Name
- Bergen Passaic Periodontal Group, PA
- Provider Entity Type
- Organization
- Address
- 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434
- Phone Number
- 201-791-2200
- Fax Number
- 201-791-6025
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Organization Subpart
- No
- Authorized Official
- Dr. Terence Jay Smith, DDS · Secretary · 201-791-2200
- Provider Enumeration Date
- August 15, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25-15 Fair Lawn Ave
Fair Lawn, NJ 07410-3434 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3434
- Phone Number
- 201-791-2200
- Fax Number
- 201-791-6025
Provider Business Mailing Address Details
- Address
- 25-15 Fair Lawn Ave
Fair Lawn, NJ 07410-3434 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3434
- Phone Number
- 201-791-2200
- Fax Number
- 201-791-6025
License Information
- License Number
- D11585
- License State
- NJ
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Fair Lawn, NJ
View all Dentist, Periodontics providers in Fair Lawn →Frequently Asked Questions
What is the NPI number of Bergen Passaic Periodontal Group, PA?
The NPI number of Bergen Passaic Periodontal Group, PA is 1437162807. It was assigned on August 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Bergen Passaic Periodontal Group, PA?
Bergen Passaic Periodontal Group, PA is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NJ under license number D11585.
Where does Bergen Passaic Periodontal Group, PA practice?
The practice location is 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434. The office can be reached at 201-791-2200 (phone) or 201-791-6025 (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 1437162807 directly on the NPPES registry website.