Bergen Dental Center LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21252 Issued in NY

Legal business name

BERGEN DENTAL CENTER LLP

Practice address

428 E 149TH St
Bronx, NY 10455-1304

Phone

(718) 585-7612

Fax

(718) 585-3558

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Leon Greenberg, DDS

Title

Dentist

Phone

(718) 585-7612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164551628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551304",
            "telephone_number": "718-585-7612",
            "fax_number": "718-585-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551304",
            "telephone_number": "718-585-7612",
            "fax_number": "718-585-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN DENTAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-585-7612",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "21252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Liza Berenguer
• Bintou Berete, PA
• Christine Leslie Bereth, DDS
• Debra Ellen Berg, MD
• Hayley Berg
• Alexandra Berger, MD
• Arielle Berger, M.D.
• Arthur Berger, EDD
• David Michael Berger, MD
• Douglas T Berger, OPTICIAN

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.