North Bergen Family Dental Care Llc in North Bergen - General Practice

North Bergen Family Dental Care Llc - NPI 1225197361

North Bergen Family Dental Care Llc is a General Practice in North Bergen, New Jersey. North Bergen Family Dental Care Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for North Bergen Family Dental Care Llc is 1225197361. The last update date is 2020-08-22.

North Bergen Family Dental Care Llc's current location address is 7821 Bergenline Ave, North Bergen, New Jersey. You can contact this provider via phone number 2018690030 and fax number 2018690020. The mailing address for North Bergen Family Dental Care Llc is 7821 Bergenline Ave, North Bergen, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Bergen Family Dental Care Llc
Address 7821 Bergenline Ave, North Bergen, New Jersey
Phone Number 2018690030
Fax Number 2018690020
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL DE
Authorized Official Name Guntunur Manorama
Credentials DDS
Telephone Number 2018690030

NPI Number Detail

NPI Number 1225197361
Provider Enumeration Date 2006-12-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 7821 Bergenline Ave
City North Bergen
State New Jersey (NJ)
Post Code 70474942
Phone Number 2018690030
Fax Number 2018690020

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DI20520
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1086983 HORIZON HEALTH CARE
985772 UNITED CONCORDIA
16386 NJ AMERIGROUP
30536 NJ AETNA
20520 NJ DELTA
7794509 NJ --
223354 CIGNA

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FAQs about North Bergen Family Dental Care Llc

What is the unique 10-digit identifier code assigned to North Bergen Family Dental Care Llc by the Centers for Medicare & Medicaid Services?

The North Bergen Family Dental Care Llc has been issued the NPI (National Provider Identifier) 1225197361 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where North Bergen Family Dental Care Llc's facilities are geographically located?

The facilities of North Bergen Family Dental Care Llc are physically situated at the following location: 7821 Bergenline Ave, North Bergen, NJ, 70474942.

What is North Bergen Family Dental Care Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The North Bergen Family Dental Care Llc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1225197361 to North Bergen Family Dental Care Llc?

The North Bergen Family Dental Care Llc received its 1225197361 assignment from the Centers for Medicare & Medicaid Services on 2006-12-06.

As of what date were the details related to North Bergen Family Dental Care Llc most recently updated or revised?

The information pertaining to North Bergen Family Dental Care Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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