| North Bergen Family Dental Care Llc | |
|
7821 Bergenline Ave North Bergen NJ 07047-4942 | |
| (201) 869-0030 | |
| (201) 869-0020 |
| Full Name | North Bergen Family Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7821 Bergenline Ave, North Bergen, New Jersey |
| Authorized Official Name and Position | Manorama Guntunur (GENERAL DENTIST) |
| Authorized Official Contact | 2018690030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Bergen Family Dental Care Llc 7821 Bergenline Ave North Bergen NJ 07047-4942 Ph: (201) 869-0030 | North Bergen Family Dental Care Llc 7821 Bergenline Ave North Bergen NJ 07047-4942 Ph: (201) 869-0030 |
| NPI Number | 1225197361 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225197361 | NPI | - | NPPES |
| 1086983 | Other | HORIZON HEALTH CARE | |
| 985772 | Other | UNITED CONCORDIA | |
| 016386 | Other | NJ | AMERIGROUP |
| 30536 | Other | NJ | AETNA |
| 20520 | Other | NJ | DELTA |
| 7794509 | Medicaid | NJ | |
| 223354 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI20520 (New Jersey) | Primary |
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