Bergen Passaic Periodontal Group, Pa

LBN: Bergen Passaic Periodontal Group, Pa
Bergen Passaic Periodontal Group, Pa is an health care organization with primary practice located at 25-15 Fair Lawn Ave , Fair Lawn NJ 07410-3434. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Bergen Passaic Periodontal Group, Pa can be contacted via phone (201) 791-2200, or through Smith, Terence Jay via phone (201) 791-2200.

Contact Information

Primary practice address
25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434
Phone: (201) 791-2200
Fax: (201) 791-6025
Website:
Map and Directions
Authorized official contact:
Name: Smith, Terence Jay Doctor of Dental Surgery (DDS)
Phone: (201) 791-2200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D11585 New Jersey

Profile Details

NPI number 1437162807
LBN Legal business name Bergen Passaic Periodontal Group, Pa
DBA Doing business as
Authorized official Smith, Terence Jay Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers