# BERGEN DENTAL AND SPECIALTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003180142
- **Authorized official:** DR. JASON F SCHEPIS D.M.D (PRESIDENT)
- **Authorized official phone:** (201) 343-8888

## Contact information

- **Practice address:** 50 ESSEX ST, ROCHELLE PARK, NJ 07662-4341
- **Practice address phone:** (201) 343-8888
- **Practice address fax:** (201) 845-4341
- **Mailing address:** 50 ESSEX ST, ROCHELLE PARK, NJ 07662-4341
- **Mailing address phone:** (201) 343-8888
- **Mailing address fax:** (201) 845-4341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DIO2318500 | NJ | — |
| 1223G0001X | General Practice Dentistry | 22DIO2319300 | NJ | Yes |

## Other

- **Enumeration date:** 03/07/2012
- **Last updated:** 03/07/2012
