Bergen Smile Confidence,P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01186000 Issued in NJ

Legal business name

BERGEN SMILE CONFIDENCE,P.A.

Practice address

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150

Phone

(201) 444-2383

Fax

(201) 444-6454

NPI assigned

Apr 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrew C Korinis, DDS

Title

President

Phone

(201) 444-2383

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1083971584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-444-2383",
            "fax_number": "201-444-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-444-2383",
            "fax_number": "201-444-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN SMILE CONFIDENCE,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KORINIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01186000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• August Bausewein IV, DC
• Theodore James Beke, MD
• Utpalkumar Bele, OTR
• Helen Hanna Benjamin
• Bergen Mental Health Counseling of New Jersey LLC
• Bergen West Pediatric Center, PA
• Bergen-Passaic Womens Health Center LLC
• Harold Ira Berger, D.M.D.
• Maria Bellla Bernardo-Decurtis, PT, MS
• Stephen A Beukas, D.M.D.

• Dentist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.