Bergenline Dental Group

LBN: Paterson Family Dental
Bergenline Dental Group is an health care organization with primary practice located at 1020 Main St , Paterson NJ 07503-2244. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Paterson Family Dental can be contacted via phone (973) 225-9975, or through Fuentes, Peter via phone (973) 225-9975.

Contact Information

Primary practice address
1020 Main St Paterson NJ 07503-2244
Phone: (973) 225-9975
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Peter Doctor of Dental Medicine (DMD)
Phone: (973) 225-9975

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22907 New Jersey

Profile Details

NPI number 1679919252
LBN Legal business name Paterson Family Dental
DBA Doing business as Bergenline Dental Group
Authorized official Fuentes, Peter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2013
Last updated May 22nd, 2013 - about 13 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 1679919252 NPPES
New Jersey MEDICAID 0154831

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