National Provider Identifier Database

BERGEN SMILES DENTAL CLINIC LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BERGEN SMILES DENTAL CLINIC, LLC
24 GODWIN AVE STE 102
MIDLAND PARK, NJ07432-1962
Phone: 917-790-9905
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BERGEN SMILES DENTAL CLINIC, LLC

NPI Number 1487021309
Legal business name
LBN
BERGEN SMILES DENTAL CLINIC, LLC
Authorized official LIANY FARINAS-HAN - (DENTIST/ONWER)
Entity Organization
Organization subpart No
Enumeration date 08/26/2015
Last updated 08/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 22DI02509100

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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