Dr. Bansari M Shah, DDS
Dentist in Montclair, New Jersey
1396082228- Practice location
- 76 Bellevue Ave, Montclair, NJ 07043-2430
- Phone
- 973-744-3127
- Fax
- —
- Last updated
- August 19, 2022
Bansari Modi Shah is a Dentist based in Montclair, NJ. Bansari Modi Shah practices in Montclair, NJ and has the professional credentials of DDS. The NPI Number for Bansari Modi Shah is 1396082228 and holds a License No. 22D102519200 (NJ). The current practice location address for Bansari Modi Shah is 76 Bellevue Ave, Montclair, NJ 07043-2430 and can be reached out via phone at 973-744-3127.
Provider Profile Details
- NPI Number
- 1396082228
- Provider Name
- Bansari Modi Shah
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 76 Bellevue Ave, Montclair, NJ 07043-2430
- Phone Number
- 973-744-3127
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 11, 2013
- Last Update Date
- August 19, 2022
- Certification Date
- August 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Bellevue Ave
Montclair, NJ 07043-2430 - City
- Montclair
- State
- New Jersey
- Zip
- 07043-2430
- Phone Number
- 973-744-3127
Provider Business Mailing Address Details
- Address
- 98 Windsor Dr
Pine Brook, NJ 07058-9654 - City
- Pine Brook
- State
- NJ
- Zip
- 07058-9654
- Phone Number
- 973-650-9527
License Information
- License Number
- 22D102519200
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Montclair, NJ
View all Dentists in Montclair →Frequently Asked Questions
What is the NPI number of Dr. Bansari M Shah, DDS?
The NPI number of Dr. Bansari M Shah, DDS is 1396082228. It was assigned on January 11, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Bansari M Shah, DDS?
Dr. Bansari M Shah, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D102519200.
Where does Dr. Bansari M Shah, DDS practice?
The practice location is 76 Bellevue Ave, Montclair, NJ 07043-2430. The office can be reached at 973-744-3127 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396082228 directly on the NPPES registry website.