Basic Information
| Provider Information | |||||||||
| NPI: | 1336331321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEARING | ||||||||
| FirstName: | BIANCA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.D.S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 SOMERSET ST | ||||||||
| Address2: | APT 236 | ||||||||
| City: | HARRISON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070292340 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 EUGENIO MARIA DE HOSTO BLVD | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2007 | ||||||||
| LastUpdateDate: | 01/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223P0221X | DN013617 | GA | N | Dental Providers | Dentist | Pediatric Dentistry | 1223P0221X | 057353-1 | NY | Y | Dental Providers | Dentist | Pediatric Dentistry |
No ID Information.