# THE BERGENFIELD SMILE CENTER

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

## Provider details

- **NPI number:** 1134295314
- **Authorized official:** JASON M SUSS D.M.D. (OWNER)
- **Authorized official phone:** (201) 384-2880

## Contact information

- **Practice address:** 179 S PROSPECT AVE, BERGENFIELD, NJ 07621-2640
- **Practice address phone:** (201) 384-2880
- **Mailing address:** 179 S PROSPECT AVE, BERGENFIELD, NJ 07621-2640
- **Mailing address phone:** (201) 384-2880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02210300 | NJ | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020