Bansari Modi Shah, DDS

Dentist · Montclair, NJ

Individual Active NPI

NPI number 1396082228

Practice location

76 Bellevue Ave
Montclair, NJ 07043-2430
Phone
(973) 744-3127

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NPI record

NPI
1396082228
Entity type
Individual (Type 1)
Enumeration date
January 11, 2013
Last updated
August 19, 2022
Certified
August 19, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22D102519200 NJ

Mailing address

98 Windsor Dr
Pine Brook, NJ 07058-9654
Phone
(973) 650-9527

About Dr. Shah

Bansari Modi Shah, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 76 Bellevue Ave, Montclair, NJ 07043-2430. The NPI number 1396082228 was assigned on January 11, 2013 and the record was last updated on August 19, 2022.

Dr. Shah lists a license in the registry: #22D102519200 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bansari Modi Shah, DDS?

The NPI number is 1396082228.

What is the phone number of Dr. Shah?

The phone number listed for the practice location is (973) 744-3127.

Where is Dr. Shah located?

76 Bellevue Ave, Montclair, NJ 07043-2430.

What is the taxonomy code for Dr. Shah?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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