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SPARKLES DENTISTRY FOR CHILDREN
NPI 1497488985
Dentist - Pediatric Dentistry in Montclair, NJ

Active since July 02, 2022
39 SOUTH FULLERTON AVE, SUITE 10, MONTCLAIR, NJ 07042(347) 979-2185 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sparkles Dentistry For Children NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARKLES DENTISTRY FOR CHILDREN (NPI 1497488985) is a healthcare organization registered as a pediatric dentistry in Montclair, New Jersey and active in the NPI registry since July 2022. The organization lists Reesha Patel Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1497488985
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFRESH PEDIATRIC DENTISTRY PC
Location Address39 SOUTH FULLERTON AVE, SUITE 10Montclair, NJ 07042
Mailing Address214 50th Ave, #507eLong Island City, NY 11101-5935 · (617) 708-5108
Phone(347) 979-2185
Organization SubpartNo
Authorized OfficialReesha Patel ShahOwner · (617) 708-5108
Enumeration DateJuly 2, 2022
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1497488985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
39 SOUTH FULLERTON AVE, Montclair, NJ 07042
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Other Names 2

Doing Business AsSparkles Dentistry For Children
Former Legal Business NameSparkles Pediatric Dentistry Of Montclair Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Pediatric Dentistry PC's NPI number?

The NPI number for Fresh Pediatric Dentistry PC is 1497488985. It was assigned to this organization in the NPPES registry on July 2, 2022. The provider is doing business as Sparkles Dentistry For Children. The provider was formerly known as Sparkles Pediatric Dentistry of Montclair PC.

Where is Fresh Pediatric Dentistry PC located?

Fresh Pediatric Dentistry PC is located at 39 South Fullerton Ave Suite 10, Montclair, NJ 07042. The listed phone number is (347) 979-2185.

What is Fresh Pediatric Dentistry PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fresh Pediatric Dentistry PC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.