Bergenfield Dental Associates

Organization Active NPI Dentist · Bergenfield, NJ

NPI 1972727345 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1972727345
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
DI17120 (NJ)
Legal business name
BERGENFIELD DENTAL ASSOCIATES
Practice address
29 W Church St
Bergenfield, NJ 07621-1703
Phone
(201) 384-0100
Fax
(201) 384-3558
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

Name
Dr. Ehab Tanios Shahid, D.M.D.
Title
President
Phone
(201) 384-0100

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X DI17120 NJ Yes

Addresses

Primary practice location

29 W Church St
Bergenfield, NJ 07621-1703

Mailing address

29 W Church St
Bergenfield, NJ 07621-1703
Phone (201) 384-0100

Other providers in Bergenfield, NJ

All providers in Bergenfield, NJ · Dentist in New Jersey

Sources for this page

Verify at the official NPI Registry.