North Bergen Dental Group

LBN: North Bergen Dental Group
North Bergen Dental Group is an health care organization with primary practice located at 7601 Broadway , North Bergen NJ 07047-5723. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. North Bergen Dental Group can be contacted via phone (201) 869-3107, or through Fuentes, Peter via phone (201) 869-3107.

Contact Information

Primary practice address
7601 Broadway North Bergen NJ 07047-5723
Phone: (201) 869-3107
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Peter Doctor of Dental Medicine (DMD)
Phone: (201) 869-3107

Health care specialties

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

Profile Details

NPI number 1861728784
LBN Legal business name North Bergen Dental Group
DBA Doing business as
Authorized official Fuentes, Peter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2009
Last updated Oct 28th, 2009 - about 17 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 1861728784 NPPES
New Jersey MEDICAID 0154814

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