Healthcare Provider Details

I. General information

NPI: 1841310059
Provider Name (Legal Business Name): ENDODONTIC ASSOCIATES OF BERGEN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 WINTERS AVE
PARAMUS NJ
07652-3901
US

IV. Provider business mailing address

585 WINTERS AVE
PARAMUS NJ
07652-3901
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-3636
  • Fax: 201-262-6740
Mailing address:
  • Phone: 201-262-3636
  • Fax: 201-262-6740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MICHAEL FEINTUCH
Title or Position: OWNER
Credential: DMD
Phone: 201-262-3636