Bergen Smile Confidence,p.A.
Dentist in Wyckoff, NJ. Organization (NPI-2).
NPI number1083971584
StatusActive
Last updated in NPPESApr 20, 2012
Details
- NPI
- 1083971584
- Entity type
- Organization (NPI-2)
- Legal business name
- Bergen Smile Confidence,p.A.
- Organization subpart
- No
- Enumeration date
- Apr 20, 2012
- Last updated
- Apr 20, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22di01186000 | NJ | Yes |
Practice location
541 Cedar Hill AveWyckoff, NJ 07481-2150
Phone 201-444-2383 · Fax 201-444-6454
Mailing address
541 Cedar Hill AveWyckoff, NJ 07481-2150
Phone 201-444-2383 · Fax 201-444-6454
Authorized official
Andrew C Korinis
President
2014442383
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