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 |
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Address | 45 Us Highway 46, Ridgefield Park, New Jersey |
Phone Number | 2014402100 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Stillman Dmitry |
Telephone Number | 2014402100 |
NPI Number Detail
NPI Number | 1235323825 |
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Provider Enumeration Date | 2007-08-28 |
Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
Address | 45 Us Highway 46 |
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City | Ridgefield Park |
State | New Jersey (NJ) |
Post Code | 76601948 |
Phone Number | 2014402100 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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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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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