| Bergen Passaic Periodontal Group, Pa | |
|
25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434 | |
| (201) 791-2200 | |
| (201) 791-6025 |
| Full Name | Bergen Passaic Periodontal Group, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 25-15 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Terence Jay Smith (SECRETARY) |
| Authorized Official Contact | 2017912200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Passaic Periodontal Group, Pa 25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434 Ph: (201) 791-2200 | Bergen Passaic Periodontal Group, Pa 25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434 Ph: (201) 791-2200 |
| NPI Number | 1437162807 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437162807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D11585 (New Jersey) | Primary |
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Lawrence Steven Lizzack D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17-10 River Rd, 4b, Fair Lawn, NJ 07410 Phone: 201-797-7774 Fax: 201-797-0740 | |
Apple Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19-21 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-475-5555 Fax: 201-475-5596 | |
Nj Dental Partners One Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25-15 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-797-8464 | |
Smile Loft Fair Lawn, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32-16 Broadway Ste 201, Fair Lawn, NJ 07410 Phone: 201-794-0440 | |
Alster Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20-20 Fair Lawn Ave, Fair Lawn, NJ 07410 Phone: 201-797-3044 Fax: 201-797-4032 | |
Family Dentists, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15-01 Broadway, Suite 10f, Fair Lawn, NJ 07410 Phone: 201-791-0130 Fax: 201-791-9394 | |
Lama Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26-07 Broadway, Suite 23, Fair Lawn, NJ 07410 Phone: 201-791-2170 |