Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bergen Passaic Periodontal Group, PA

Organization Periodontics · NPI 1437162807

Bergen Passaic Periodontal Group, PA is a Periodontics in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

25-15 Fair Lawn Ave
Fair Lawn, NJ 07410-3434
Phone: (201) 791-2200
Fax: (201) 791-6025
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D11585 (NJ)

Record details

NPI number1437162807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terence Smith — Secretary · (201) 791-2200
NPI enumeratedAugust 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address25-15 Fair Lawn Ave, Fair Lawn, NJ 07410-3434

Other providers in Fair Lawn