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BERGEN PASSAIC PERIODONTAL GROUP, PA
NPI 1437162807
Dentist - Periodontics in Fair Lawn, NJ

Active since August 15, 2006
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410(201) 791-2200(201) 791-6025 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bergen Passaic Periodontal Group, Pa NPPES

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

BERGEN PASSAIC PERIODONTAL GROUP, PA (NPI 1437162807) is a healthcare organization registered as a periodontics in Fair Lawn, New Jersey and active in the NPI registry since August 2006. The organization lists Terence Jay Smith, Secretary, as its authorized official.

NPPES Registry Identity

NPI1437162807
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBERGEN PASSAIC PERIODONTAL GROUP, PA
Location Address25-15 FAIR LAWN AVEFair Lawn, NJ 07410-3434
Mailing Address25-15 Fair Lawn AveFair Lawn, NJ 07410-3434 · (201) 791-2200 · Fax (201) 791-6025
Phone(201) 791-2200
Fax(201) 791-6025
Organization SubpartNo
Authorized OfficialTerence Jay SmithSecretary · (201) 791-2200
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437162807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · D11585
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
25-15 FAIR LAWN AVE, Fair Lawn, NJ 07410
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

NJ DENTAL PARTNERS ONE LLC
Dentist (General Practice)
25-15 FAIR LAWN AVE
FAIR LAWN, NJ 07410
Bergen County (201) 797-8464
MR. VINCENT FEDERICO ACUPUNCTURIST
Acupuncturist
25-15 FAIR LAWN AVE
FAIR LAWN, NJ 07410
Bergen County (201) 916-0509
RESPIRATORY MED LLC
Specialist
25-15 FAIR LAWN AVE, GROUND FLOOR
FAIR LAWN, NJ 07410
Bergen County (201) 687-8600
DR. DOUGLAS R. MAHLER DMD
Dentist
25-15 FAIR LAWN AVE, 2ND FLOOR
FAIR LAWN, NJ 07410
Bergen County (201) 797-8464
XL-MED PC
Clinic/Center
25-15 FAIR LAWN AVE
FAIR LAWN, NJ 07410
Bergen County (201) 475-1005
FLDA, LLC
Clinic/Center (Dental)
25-15 FAIR LAWN AVE
FAIR LAWN, NJ 07410
Bergen County (201) 797-8464
DR. OLGA LISHKO M.D.
Internal Medicine
25-15 FAIR LAWN AVE
FAIR LAWN, NJ 07410
Bergen County (201) 475-1005
ABSOLUTE BALANCE ACUPUNCTURE CLINIC LLC
Acupuncturist
25-15 FAIR LAWN AVE, 1ST FLOOR
FAIR LAWN, NJ 07410
Bergen County (201) 916-0509

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 Passaic Periodontal Group, PA's NPI number?

The NPI number for Bergen Passaic Periodontal Group, PA is 1437162807. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Bergen Passaic Periodontal Group, PA located?

Bergen Passaic Periodontal Group, PA is located at 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410. The listed phone number is (201) 791-2200.

What is Bergen Passaic Periodontal Group, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Bergen Passaic Periodontal Group, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.