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Bergen Passaic Periodontal Group, Pa
Periodontist in Fair Lawn, New Jersey
NPI 1437162807

Bergen Passaic Periodontal Group, Pa is a Periodontist based in Fair Lawn, NJ and is specialized in Periodontics. 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 (New Jersey).

The current practice location address for Bergen Passaic Periodontal Group, Pa is 25-15 Fair Lawn Ave, Fair Lawn, NJ and can be reached out via phone at 201-791-2200 and via fax at 201-791-6025.

Location: 25-15 Fair Lawn Ave, Fair Lawn, NJ, 07410-3434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437162807
Provider Name
Bergen Passaic Periodontal Group, Pa
Credential
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
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
25-15 Fair Lawn Ave
City
Fair Lawn
State
New Jersey
Zip
07410-3434
Phone Number
201-791-2200
Fax Number
201-791-6025
person
Provider Business Mailing Address Details
Address
25-15 Fair Lawn Ave
City
Fair Lawn
State
New Jersey
Zip
07410-3434
Phone Number
201-791-2200
Fax Number
201-791-6025
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D11585 (New Jersey)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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