Dr. Etan Bardash, DMD
Dentist, General Practice in Fair Lawn, New Jersey
1649851569- Practice location
- 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732
- Phone
- 201-797-1555
- Fax
- —
- Last updated
- July 18, 2022
Etan Bardash is a Dentist, General Practice based in Fair Lawn, NJ. Etan Bardash practices in Fair Lawn, NJ and has the professional credentials of DMD. The NPI Number for Etan Bardash is 1649851569 and holds a License No. 22DI02869500 (NJ). The current practice location address for Etan Bardash is 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732 and can be reached out via phone at 201-797-1555.
Provider Profile Details
- NPI Number
- 1649851569
- Provider Name
- Etan Bardash
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732
- Phone Number
- 201-797-1555
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 21, 2021
- Last Update Date
- July 18, 2022
- Certification Date
- July 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10-06 Saddle River RD
Fair Lawn, NJ 07410-5732 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-5732
- Phone Number
- 201-797-1555
Provider Business Mailing Address Details
- Address
- 786 Washburn St
Teaneck, NJ 07666-2243 - City
- Teaneck
- State
- NJ
- Zip
- 07666-2243
- Phone Number
- 201-566-7992
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02869500
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Etan Bardash, DMD?
The NPI number of Dr. Etan Bardash, DMD is 1649851569. It was assigned on April 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Etan Bardash, DMD?
Dr. Etan Bardash, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02869500.
Where does Dr. Etan Bardash, DMD practice?
The practice location is 10-06 Saddle River RD, Fair Lawn, NJ 07410-5732. The office can be reached at 201-797-1555 (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 1649851569 directly on the NPPES registry website.