Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
BERGEN PASSAIC PERIODONTAL GROUP, PA
Active
Organization
BERGEN PASSAIC PERIODONTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE JAY SMITH DDS (SECRETARY)
(201) 791-2200
Entity
Organization
Contact information
Practice address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 791-2200
(201) 791-6025
Mailing address
25-15 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3434
(201) 791-2200
(201) 791-6025
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11585
NJ
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up