Individual provider · Type 1 NPI
Reesha Patel Shah, D.M.D
Pediatric Dentistry · Montclair, NJ
NPI number
1609154723
Active
Practice location
39 S Fullerton Ave Ste 10
Montclair, NJ 07042-6303
Mailing address
214 50th Ave Apt 507E
Long Island City, NY 11101-5935
Other practice locations
- 62 2nd Pl, Brooklyn, NY 11231-4106 · (718) 797-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 055653 (NY) |
| Pediatric Dentistry Primary | 1223P0221X | 22DI02700400 (NJ) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Montclair
About NPI 1609154723
Reesha Patel Shah, D.M.D's National Provider Identifier is 1609154723, issued on Jul 22, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Montclair, NJ. The record was last updated on Nov 8, 2023.