Bergen Smiles Dental Clinic, LLC
Preferred Provider Organization in Midland Park, New Jersey
1487021309- Practice location
- 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962
- Phone
- 917-790-9905
- Fax
- —
- Last updated
- August 26, 2015
Bergen Smiles Dental Clinic, LLC is a healthcare organization based in Midland Park, NJ. Bergen Smiles Dental Clinic, LLC practices in Midland Park, NJ. The NPI Number for Bergen Smiles Dental Clinic, LLC is 1487021309 and holds a License No. 22DI02509100 (NJ). The current practice location address for Bergen Smiles Dental Clinic, LLC is 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962 and can be reached out via phone at 917-790-9905.
Provider Profile Details
- NPI Number
- 1487021309
- Provider Name
- Bergen Smiles Dental Clinic, LLC
- Provider Entity Type
- Organization
- Address
- 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962
- Phone Number
- 917-790-9905
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Liany Farinas-Han, DMD · Dentist/Onwer · 917-790-9905
- Provider Enumeration Date
- August 26, 2015
- Last Update Date
- August 26, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Godwin Ave Ste 102
Midland Park, NJ 07432-1962 - City
- Midland Park
- State
- New Jersey
- Zip
- 07432-1962
- Phone Number
- 917-790-9905
Provider Business Mailing Address Details
- Address
- 24 Godwin Ave Ste 102
Midland Park, NJ 07432-1962 - City
- Midland Park
- State
- NJ
- Zip
- 07432-1962
- Phone Number
- 917-790-9905
License Information
- License Number
- 22DI02509100
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · 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 Smiles Dental Clinic, LLC?
The NPI number of Bergen Smiles Dental Clinic, LLC is 1487021309. It was assigned on August 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Bergen Smiles Dental Clinic, LLC?
Bergen Smiles Dental Clinic, LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 22DI02509100.
Where does Bergen Smiles Dental Clinic, LLC practice?
The practice location is 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962. The office can be reached at 917-790-9905 (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 1487021309 directly on the NPPES registry website.