# BEN S GREENBERG

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

## Provider details

- **NPI number:** 1245886969
- **Authorized official:** BEN S GREENBERG (OWNER)
- **Authorized official phone:** (201) 487-3361

## Contact information

- **Practice address:** 114 E MAIN ST, BOGOTA, NJ 07603-1310
- **Practice address phone:** (201) 487-3361
- **Practice address fax:** (201) 487-6163
- **Mailing address:** 114 E MAIN ST, BOGOTA, NJ 07603-1310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 08/19/2019
- **Last updated:** 08/19/2019