BC Dental FTL, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BC DENTAL FTL, PC

Practice address

144-148 Linwood Plaza
Fort Lee, NJ 07024

Phone

(201) 509-1032

NPI assigned

Apr 26, 2021

Organization subpart

Yes

Parent organization

BC DENTAL FFL, PCAs reported in NPPES

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

Authorized official

Name

Jun John Yoo, DDS

Title

Owner/Associate

Phone

(201) 509-1032

Specialties & licenses 1

Addresses

Other names 1

• Beam City Pediatric Dentistry And Orthodontics Doing business as

Part of

BC Dental FTL PC

Locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1205418571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MAIN ST P.O. BOX #1238",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144-148 LINWOOD PLAZA",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-509-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC DENTAL FTL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BC DENTAL FFL, PC",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ASSOCIATE",
        "authorized_official_telephone_number": "201-509-1032",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beam City Pediatric Dentistry And Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayati Basak, M.D.
• Irina Bashkirov, LAC
• Elliot H Bass, DDS
• Wendy Lee Bauer, BCBA
• Demetrios Bayiokos, D.M.D.
• Michael Beals, D.D.S.
• Amy Beer
• Yvharry Belange, LPN
• Bella Shapnik, MD, PA
• Louis Frank Bellotti, DMD

• Dentist in Fort Lee, NJ
• Providers in Fort Lee, 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 26, 2021; 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.