Bergen Passaic Periodontal Group, Pa in Fair Lawn - Periodontics
Bergen Passaic Periodontal Group, Pa - NPI 1437162807
Bergen Passaic Periodontal Group, Pa is a Periodontics in Fair Lawn, New Jersey. Bergen Passaic Periodontal Group, Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bergen Passaic Periodontal Group, Pa is 1437162807. The last update date is 2020-08-22.
Bergen Passaic Periodontal Group, Pa's current location address is 25-15 Fair Lawn Ave, Fair Lawn, New Jersey. You can contact this provider via phone number 2017912200 and fax number 2017916025. The mailing address for Bergen Passaic Periodontal Group, Pa is 25-15 Fair Lawn Ave, Fair Lawn, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bergen Passaic Periodontal Group, Pa |
|---|---|
| Address | 25-15 Fair Lawn Ave, Fair Lawn, New Jersey |
| Phone Number | 2017912200 |
| Fax Number | 2017916025 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Smith Jay Terence |
| Credentials | DDS |
| Telephone Number | 2017912200 |
NPI Number Detail
| NPI Number | 1437162807 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 25-15 Fair Lawn Ave |
|---|---|
| City | Fair Lawn |
| State | New Jersey (NJ) |
| Post Code | 74103434 |
| Phone Number | 2017912200 |
| Fax Number | 2017916025 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D11585 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Bergen Passaic Periodontal Group, Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Bergen Passaic Periodontal Group, Pa has been assigned the NPI (National Provider Identifier) 1437162807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bergen Passaic Periodontal Group, Pa?
The Bergen Passaic Periodontal Group, Pa is physically situated at 25-15 Fair Lawn Ave, in the city of Fair Lawn, state of NJ, with the postal code 74103434.
What is the Bergen Passaic Periodontal Group, Pa's area of specialization and corresponding taxonomy classification?
The Bergen Passaic Periodontal Group, Pa's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did Bergen Passaic Periodontal Group, Pa receive its 1437162807 assignment?
The Bergen Passaic Periodontal Group, Pa was assigned its 1437162807 on 2006-08-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Bergen Passaic Periodontal Group, Pa most recently updated or revised?
The information pertaining to Bergen Passaic Periodontal Group, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.