BERGEN DENTAL PRACTICE, P.C.
NPI 1033378575
Dentist - General Practice in Bergenfield, NJ

Q: What is Bergen Dental Practice, P.C.'s NPI number?

The NPI number for Bergen Dental Practice, P.C. is 1033378575. It was assigned to this organization in the NPPES registry on June 9, 2008.

Q: What is Bergen Dental Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 09, 2008

21 MAGNOLIA ST, BERGENFIELD, NJ 07621(201) 385-0013(201) 385-0842 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bergen Dental Practice, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERGEN DENTAL PRACTICE, P.C. (NPI 1033378575) is a healthcare organization registered as a general practice in Bergenfield, New Jersey and active in the NPI registry since June 2008. The organization lists Mohammed Mansoorul Imam, President, as its authorized official.

NPPES Registry Identity

NPI1033378575

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBERGEN DENTAL PRACTICE, P.C.

Location Address21 MAGNOLIA STBergenfield, NJ 07621-3812

Mailing Address21 Magnolia StBergenfield, NJ 07621-3812 · (201) 385-0013 · Fax (201) 385-0842

Phone(201) 385-0013

Fax(201) 385-0842

Organization SubpartNo

Authorized OfficialMohammed Mansoorul ImamPresident · (201) 385-0013

Enumeration DateJune 9, 2008

✔ NPI 1033378575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 20895

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

21 MAGNOLIA ST, Bergenfield, NJ 07621

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bergen Dental Practice, P.C.'s NPI number?

The NPI number for Bergen Dental Practice, P.C. is 1033378575. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Bergen Dental Practice, P.C. located?

Bergen Dental Practice, P.C. is located at 21 Magnolia St, Bergenfield, NJ 07621. The listed phone number is (201) 385-0013.

What is Bergen Dental Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bergen Dental Practice, P.C. was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.