Active NPIIndividual providerSole proprietor

Dr. Ekaterina Bagaeva, DDS

Dentist, General Practice in Sicklerville, New Jersey

NPI Number1518457969
Practice location
530 Berlin Cross Keys RD, Sicklerville, NJ 08081-9565
Fax
—
Last updated
September 20, 2026

Ekaterina Bagaeva is a Dentist, General Practice based in Sicklerville, NJ. Ekaterina Bagaeva practices in Sicklerville, NJ and has the professional credentials of DDS. The NPI Number for Ekaterina Bagaeva is 1518457969 and holds a License No. 22DI02810300 (NJ). The current practice location address for Ekaterina Bagaeva is 530 Berlin Cross Keys RD, Sicklerville, NJ 08081-9565 and can be reached out via phone at 856-388-2110.

Provider Profile Details

NPI Number
1518457969
Provider Name
Ekaterina Bagaeva
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
530 Berlin Cross Keys RD, Sicklerville, NJ 08081-9565
Phone Number
856-388-2110
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2018
Last Update Date
September 20, 2026
Certification Date
September 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 Berlin Cross Keys RD
Sicklerville, NJ 08081-9565
Zip
08081-9565
Phone Number
856-388-2110
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
8828 75TH Ave
Glendale, NY 11385-7926
City
Glendale
State
NY
Zip
11385-7926
Phone Number
718-503-1406

License Information

License Number
22DI02810300
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ekaterina Bagaeva, DDS?

The NPI number of Dr. Ekaterina Bagaeva, DDS is 1518457969. It was assigned on May 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Ekaterina Bagaeva, DDS?

Dr. Ekaterina Bagaeva, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02810300.

Where does Dr. Ekaterina Bagaeva, DDS practice?

The practice location is 530 Berlin Cross Keys RD, Sicklerville, NJ 08081-9565. The office can be reached at 856-388-2110 (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 1518457969 directly on the NPPES registry website.

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