Provider Demographics
NPI:1073734190
Name:GENTLE DENTAL LLP
Entity type:Organization
Organization Name:GENTLE DENTAL LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-861-6555
Mailing Address - Street 1:5918 BERGENLINE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1392
Mailing Address - Country:US
Mailing Address - Phone:201-861-6555
Mailing Address - Fax:
Practice Address - Street 1:5918 BERGENLINE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-1392
Practice Address - Country:US
Practice Address - Phone:201-861-6555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty