Healthcare Provider Details

I. General information

NPI: 1679775282
Provider Name (Legal Business Name): ANCA IRINA BEJAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BLOOMFIELD AVE
MONTCLAIR NJ
07042-3505
US

IV. Provider business mailing address

194 FRENCH HILL RD
WAYNE NJ
07470-3932
US

V. Phone/Fax

Practice location:
  • Phone: 973-783-6700
  • Fax:
Mailing address:
  • Phone: 973-872-2603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01796800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI01796800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: