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BERGEN SMILES DENTAL CLINIC LLC NPI 1487021309


NPI Information

NPI: 1487021309
Provider Name: BERGEN SMILES DENTAL CLINIC, LLC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
24 GODWIN AVE STE 102
MIDLAND PARK, NJ
ZIP 07432
Phone: (917) 790-9905
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BERGEN SMILES DENTAL CLINIC, LLC is a preferred provider organization in Midland Park, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BERGEN SMILES DENTAL CLINIC, LLC NPI is 1487021309. The provider is registered as an organization entity type.

The provider's business location address is:

24 GODWIN AVE STE 102
MIDLAND PARK, NJ
ZIP 07432-962
Phone: (917) 790-9905

The provider's authorized official is Liany Farinas-han .
The authorized official title is Dentist/onwer and has the following contact phone number (917) 790-9905.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization22DI02509100NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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