Nicolas Bochi, DMD

Individual provider Active NPI General Practice Dentistry · Bergenfield, NJ

NPI 1366569295 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366569295
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
22DI01992700 (NJ)
Practice address
22 N Washington Ave
Bergenfield, NJ 07621-2126
Phone
(201) 384-4454
Fax
(201) 384-9829
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI01992700NJMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01992700 NJ Yes

Addresses

Primary practice location

22 N Washington Ave
Bergenfield, NJ 07621-2126

Mailing address

22 North Washington Avenue
Bergenfield, NJ 07621-2126
Phone (201) 384-4454

Other providers in Bergenfield, NJ

All providers in Bergenfield, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.