Organization Active NPI

BBDC Dental, P.C.

Doing business as Bear Brook Dental Care

  • Dentist
  • River Vale, NJ
National Provider Identifier
1902766488
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BBDC DENTAL, P.C.
Doing business as
Bear Brook Dental Care
Practice address
663 Westwood Ave Ste B
River Vale, NJ 07675-6294
Phone
(917) 557-8007
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Dr. Kiwon Lee, DDSNPI 1588983019
Title
Ceo
Phone
(917) 557-8007

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
Dentist 122300000X Primary

Addresses

Primary practice location

663 Westwood Ave Ste B
River Vale, NJ 07675-6294

Mailing address

663 Westwood Ave Ste B
River Vale, NJ 07675-6294

Other names 1

  • BEAR BROOK DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Locations

663 Westwood Ave
Ste B
River Vale, NJ 07675
Phone (201) 479-2752

Practitioners & affiliated clinicians

Practitioners 1

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": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1902766488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 WESTWOOD AVE STE B",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 WESTWOOD AVE STE B",
            "city": "RIVER VALE",
            "state": "NJ",
            "postal_code": "076756294",
            "telephone_number": "917-557-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBDC DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KIWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-557-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEAR BROOK DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Vale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.