Bergen Pediatric Dental, Llc in Ridgefield Park - Pediatric Dentistry

Bergen Pediatric Dental, Llc - NPI 1235323825

Bergen Pediatric Dental, Llc is a Pediatric Dentistry in Ridgefield Park, New Jersey. Bergen Pediatric Dental, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Bergen Pediatric Dental, Llc is 1235323825. The last update date is 2007-08-28.

Bergen Pediatric Dental, Llc's current location address is 45 Us Highway 46, Ridgefield Park, New Jersey. You can contact this provider via phone number 2014402100. The mailing address for Bergen Pediatric Dental, Llc is 45 Us Highway 46, Ridgefield Park, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bergen Pediatric Dental, Llc
Address 45 Us Highway 46, Ridgefield Park, New Jersey
Phone Number 2014402100
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Stillman Dmitry
Telephone Number 2014402100

NPI Number Detail

NPI Number 1235323825
Provider Enumeration Date 2007-08-28
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 45 Us Highway 46
City Ridgefield Park
State New Jersey (NJ)
Post Code 76601948
Phone Number 2014402100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DI19909
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Bergen Pediatric Dental, Llc

What is the unique 10-digit identification code assigned to Bergen Pediatric Dental, Llc by the Centers for Medicare & Medicaid Services?

The Bergen Pediatric Dental, Llc has been issued the NPI (National Provider Identifier) 1235323825, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Bergen Pediatric Dental, Llc's physical address?

The Bergen Pediatric Dental, Llc is physically located at 45 Us Highway 46, in the city of Ridgefield Park, NJ, with the postal code 76601948.

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

The Bergen Pediatric Dental, Llc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When did the Bergen Pediatric Dental, Llc receive its 1235323825?

The Bergen Pediatric Dental, Llc was issued its 1235323825 on 2007-08-28, which is the date when the organization was assigned this unique identifier.

When was the information regarding Bergen Pediatric Dental, Llc most recently updated?

The details pertaining to the Bergen Pediatric Dental, Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-08-28.

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