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AESTHETIC DENTAL CENTER OF HACKENSACK LLC
NPI 1154574804
Dentist - General Practice in Hackensack, NJ

Active since October 28, 2008
161 MAIN ST, HACKENSACK, NJ 07601(201) 488-8866(201) 488-7663 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2019, Jun 28, 2018 (2 updates tracked since 2018).

About Aesthetic Dental Center Of Hackensack Llc NPPES

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

AESTHETIC DENTAL CENTER OF HACKENSACK LLC (NPI 1154574804), doing business as Pangborn Dental Center Llc, is a healthcare organization registered as a general practice in Hackensack, New Jersey and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Hackensack and lists Daria Bagaeva, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154574804
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAESTHETIC DENTAL CENTER OF HACKENSACK LLC
Location Address161 MAIN STHackensack, NJ 07601
Mailing Address163 Main St Ste AHackensack, NJ 07601-7124 · (201) 488-8866 · Fax (201) 488-7663
Phone(201) 488-8866
Fax(201) 488-7663
Organization SubpartNo
Authorized OfficialDaria BagaevaOffice Manager · (973) 361-6200
Enumeration DateOctober 28, 2008
Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration
✔ NPI 1154574804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
161 MAIN ST, Hackensack, NJ 07601
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Other Names 1

Former Legal Business NamePangborn Dental Center Llc

Secondary Practice Location 1

Location 135 Pangborn PlHackensack, NJ 07601-4506 · Phone (201) 488-8866

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUARDIAN ELDERCARE PC
Community/Behavioral Health
161 MAIN ST, THIRD FLOOR
HACKENSACK, NJ 07601
Bergen County (201) 368-9680

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 Aesthetic Dental Center Of Hackensack LLC's NPI number?

The NPI number for Aesthetic Dental Center Of Hackensack LLC is 1154574804. It was assigned to this organization in the NPPES registry on October 28, 2008. The provider was formerly known as Pangborn Dental Center LLC.

Where is Aesthetic Dental Center Of Hackensack LLC located?

Aesthetic Dental Center Of Hackensack LLC is located at 161 Main St, Hackensack, NJ 07601. The listed phone number is (201) 488-8866.

What is Aesthetic Dental Center Of Hackensack LLC'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 Aesthetic Dental Center Of Hackensack LLC was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.