DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BANSARI MODI SHAH, DDS

Active Sole Proprietor

DR. BANSARI MODI SHAH, DDS is a Dentist healthcare provider located in MONTCLAIR, New Jersey. NPI 1396082228 is currently active in the NPPES registry. Verify at CMS.

Dentist · MONTCLAIR, NJ

Registration Details

NPI Number
1396082228
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2013 (13.577580996313 yrs)
Last Updated
Aug 19, 2022
License
22D102519200 (NJ)
Sole Proprietor
Yes

Practice Information

Address
76 BELLEVUE AVE
MONTCLAIR, NJ, 070432430
Browse NJ providers · Browse ZIP 07043
Phone
9737443127
Primary Specialty
Dentist
122300000X

Other Dentist Providers in MONTCLAIR, NJ

Name Credential NPI
DR. LAURA C HELLINGER DMD 1548364854
DR. PAUL ROTUNDA DMD 1477626265
DR. CHARLENE GAMBINO DMD 1326183096
DR. JODY LEE ROSS DMD 1356554083
FARANAK AZAR D.M.D. 1740459007
DR. SAMUEL LOPEZ D.M.D. 1013183193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.