| Bergen Periodontics Llc | |
|
153 Fort Lee Rd Teaneck NJ 07666-3984 | |
| (212) 996-3124 | |
| Not Available |
| Full Name | Bergen Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 153 Fort Lee Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Amir Ahmadi (OWNER / PERIODONTIST) |
| Authorized Official Contact | 2129963124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Periodontics Llc 153 Fort Lee Rd Fl 1 Teaneck NJ 07666-3984 Ph: (212) 996-3124 | Bergen Periodontics Llc 153 Fort Lee Rd Teaneck NJ 07666-3984 Ph: (212) 996-3124 |
| NPI Number | 1316837818 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316837818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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