Bergenline Dental Group

LBN: Bergenline Dental Group
Bergenline Dental Group is an health care organization with primary practice located at 3916 Bergenline Ave 2Nd Floor, Union City NJ 07087-1612. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bergenline Dental Group can be contacted via phone (201) 865-5150, or through Fuentes, Peter via phone (201) 865-5150.

Contact Information

Primary practice address
3916 Bergenline Ave 2Nd Floor Union City NJ 07087-1612
Phone: (201) 865-5150
Fax: (201) 865-5962
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Peter Doctor of Dental Medicine (DMD)
Phone: (201) 865-5150

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22907 New Jersey

Profile Details

NPI number 1043477565
LBN Legal business name Bergenline Dental Group
DBA Doing business as
Authorized official Fuentes, Peter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043477565 NPPES
New Jersey MEDICAID 0154831

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