BERGEN PROSTHODONTICS LLC NPI 1043088396

NPI Information

  • NPI: 1043088396
  • Provider Name: BERGEN PROSTHODONTICS LLC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Address: 102 CHESTNUT RIDGE RD STE 201
    MONTVALE, NJ
    ZIP 07645
  • Phone: (201) 582-2264

Map and Directions

Get Directions

NPI Details

BERGEN PROSTHODONTICS LLC is a prosthodontics dentist in Montvale, NJ. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. BERGEN PROSTHODONTICS LLC NPI is 1043088396. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 CHESTNUT RIDGE RD STE 201
MONTVALE, NJ
ZIP 07645-856
Phone: (201) 582-2264

The provider's authorized official is Sung Eun Kim .
The authorized official title is Ceo/dentist and has the following contact phone number (201) 582-2264.

The enumeration date for this NPI number is 12/15/2023 and was last updated on 12/15/2023.

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
11223P0700XDentistProsthodonticsYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.