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BERGEN LINE ENDODONTICS LLC NPI 1023344736


NPI Information

NPI: 1023344736
Provider Name: BERGEN LINE ENDODONTICS LLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
5918 BERGENLINE AVE
SUITE 201 B
WEST NEW YORK, NJ
ZIP 07093
Phone: (201) 861-2900
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BERGEN LINE ENDODONTICS LLC is an endodontics dentist in West New York, NJ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. BERGEN LINE ENDODONTICS LLC NPI is 1023344736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5918 BERGENLINE AVE
SUITE 201 B
WEST NEW YORK, NJ
ZIP 07093-392
Phone: (201) 861-2900
Fax: (201) 662-9662

The provider's authorized official is Viktoria Demianenko .
The authorized official title is Office Manager and has the following contact phone number (718) 373-6707.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.