Bergen Passaic Periodontal Group, PA
Bergen Passaic Periodontal Group, PA provides Periodontics in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
25-15 Fair Lawn AveFair Lawn, NJ 07410-3434
Phone: (201) 791-2200
Fax: (201) 791-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence D11585 (NJ) |
|---|
Record details
| NPI number | 1437162807 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terence Smith — Secretary · (201) 791-2200 |
| NPI enumerated | August 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434 |
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