Organization · Type 2 NPI

Aesthetic Dental Center of Hackensack LLC

General Practice Dentistry · Hackensack, NJ

NPI number 1154574804 Active

Practice location

161 Main St
Hackensack, NJ 07601

Call (201) 488-8866 Map

Fax (201) 488-7663

Mailing address

163 Main St Ste A
Hackensack, NJ 07601-7124

Other practice locations

35 Pangborn Pl, Hackensack, NJ 07601-4506 · (201) 488-8866

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Guardian Eldercare PCCommunity/Behavioral Health Agency Hackensack, NJ NPI 1194888008

Other general practice dentistry providers in Hackensack

See all in Hackensack →

NPI record

NPI: 1154574804
Entity type: Organization (Type 2)
Issued: Oct 28, 2008
Last updated: Dec 4, 2019
Status: Active

Other names

<unavail>
Pangborn Dental Center LLC · former legal business name
Pangborn Dental Center LLC · former legal business name

Authorized official

Daria Bagaeva
Office Manager
(973) 361-6200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154574804

Aesthetic Dental Center of Hackensack LLC's National Provider Identifier is 1154574804, issued on Oct 28, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hackensack, NJ. The record was last updated on Dec 4, 2019.