Organization Active NPI

Smiles by Bergen Dental Dumont LLC

  • Dental Clinic/Center
  • Dumont, NJ
National Provider Identifier
1417725516
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILES BY BERGEN DENTAL DUMONT LLC
Practice address
166 Washington Ave
Dumont, NJ 07628-2305
Phone
(201) 384-2112
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Liany Farinas-Han, DMDNPI 1104173475
Title
Owner/Dentist
Phone
(917) 790-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

166 Washington Ave
Dumont, NJ 07628-2305

Mailing address

310 Main St
Emerson, NJ 07630-1320
Phone (917) 790-9905

National Provider Directory

National Provider Directory

Locations

166 Washington Ave
Dumont, NJ 07628
Phone (201) 384-2112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1417725516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301320",
            "telephone_number": "917-790-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WASHINGTON AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282305",
            "telephone_number": "201-384-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY BERGEN DENTAL DUMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "FARINAS-HAN",
        "authorized_official_first_name": "LIANY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "917-790-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.