# BERGENFIELD DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1972727345
- **Authorized official:** DR. EHAB TANIOS SHAHID D.M.D. (PRESIDENT)
- **Authorized official phone:** (201) 384-0100

## Contact information

- **Practice address:** 29 W CHURCH ST, BERGENFIELD, NJ 07621-1703
- **Practice address phone:** (201) 384-0100
- **Practice address fax:** (201) 384-3558
- **Mailing address:** 29 W CHURCH ST, BERGENFIELD, NJ 07621-1703
- **Mailing address phone:** (201) 384-0100
- **Mailing address fax:** (201) 384-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI17120 | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 09/16/2008