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NORTH BERGEN FAMILY DENTAL CARE LLC NPI 1225197361


NPI Information

NPI: 1225197361
Provider Name: NORTH BERGEN FAMILY DENTAL CARE LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7821 BERGENLINE AVE
NORTH BERGEN, NJ
ZIP 07047
Phone: (201) 869-0030
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NORTH BERGEN FAMILY DENTAL CARE LLC is a general practice dentist in North Bergen, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NORTH BERGEN FAMILY DENTAL CARE LLC NPI is 1225197361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7821 BERGENLINE AVE
NORTH BERGEN, NJ
ZIP 07047-942
Phone: (201) 869-0030
Fax: (201) 869-0020

The provider's authorized official is Manorama Guntunur .
The authorized official title is General Dentist and has the following contact phone number (201) 869-0030.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeDI20520NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1223354OTHERCIGNA
27794509MEDICAIDNEW JERSEY
320520OTHERNEW JERSEYDELTA
430536OTHERNEW JERSEYAETNA
5985772OTHERUNITED CONCORDIA
61086983OTHERHORIZON HEALTH CARE
7016386OTHERNEW JERSEYAMERIGROUP

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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