Bergen Dental Practice, P.C.
NPI 1033378575ActiveOrganization· Dentist, General Practice· Bergenfield, NJ
Dentist, General Practice in Bergenfield, New Jersey, registered in NPPES in June 2008. The authorized official on file is Mohammed Mansoorul Imam, DDS, President.
Overview
| NPI | 1033378575 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2008 |
| Last updated in NPPES | Jun 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 20895 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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