Fresh Pediatric Dentistry PC
Dentist, Pediatric Dentistry in Montclair, New Jersey
1497488985- Practice location
- 39 South Fullerton Ave, Suite 10, Montclair, NJ 07042
- Phone
- 347-979-2185
- Fax
- —
- Last updated
- June 2, 2023
Fresh Pediatric Dentistry PC is a healthcare organization based in Montclair, NJ. Fresh Pediatric Dentistry PC practices in Montclair, NJ. The NPI Number for Fresh Pediatric Dentistry PC is 1497488985. The current practice location address for Fresh Pediatric Dentistry PC is 39 South Fullerton Ave, Suite 10, Montclair, NJ 07042 and can be reached out via phone at 347-979-2185.
Provider Profile Details
- NPI Number
- 1497488985
- Provider Name
- Fresh Pediatric Dentistry PC
- Provider Entity Type
- Organization
- Address
- 39 South Fullerton Ave, Suite 10, Montclair, NJ 07042
- Phone Number
- 347-979-2185
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Organization Subpart
- No
- Authorized Official
- Dr. Reesha Patel Shah, DMD · Owner · 617-708-5108
- Other Names
- Sparkles Dentistry For Children (Doing Business As)
Sparkles Pediatric Dentistry Of Montclair PC (Former Legal Business Name) - Provider Enumeration Date
- July 2, 2022
- Last Update Date
- June 2, 2023
- Certification Date
- June 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 South Fullerton Ave
Suite 10
Montclair, NJ 07042 - City
- Montclair
- State
- New Jersey
- Zip
- 07042
- Phone Number
- 347-979-2185
Provider Business Mailing Address Details
- Address
- 214 50TH Ave
#507e
Long Island City, NY 11101-5935 - City
- Long Island City
- State
- NY
- Zip
- 11101-5935
- Phone Number
- 617-708-5108
License Information
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Montclair, NJ
View all Dentist, Pediatric Dentistry providers in Montclair →- Dr. Natasha M Mathias, DMDDentist, Pediatric Dentistry · NPI 1265606339
- Dr. Tyra Manso, DDSDentist, Pediatric Dentistry · NPI 1467618512
- Vrinda NanavatiDentist, Pediatric Dentistry · NPI 1427559491
- Therese B Felcher, LCSWSocial Worker, Clinical · NPI 1265623284
- Kahn Health PCFamily Medicine · NPI 1548160989
- Loren Galese, MEDCounselor, Professional · NPI 1447644661
Frequently Asked Questions
What is the NPI number of Fresh Pediatric Dentistry PC?
The NPI number of Fresh Pediatric Dentistry PC is 1497488985. It was assigned on July 2, 2022 and is currently active in the NPPES registry.
What is the specialty of Fresh Pediatric Dentistry PC?
Fresh Pediatric Dentistry PC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).
Where does Fresh Pediatric Dentistry PC practice?
The practice location is 39 South Fullerton Ave, Suite 10, Montclair, NJ 07042. The office can be reached at 347-979-2185 (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 1497488985 directly on the NPPES registry website.