Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fresh Pediatric Dentistry PC

Organization Pediatric Dentistry · NPI 1497488985

Fresh Pediatric Dentistry PC is a Pediatric Dentistry in Montclair, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39 S Fullerton Ave Ste 10
Montclair, NJ 07042
Phone: (347) 979-2185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1497488985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reesha Shah — Owner · (617) 708-5108
Other names Sparkles Dentistry For Children; Sparkles Pediatric Dentistry Of Montclair Pc
NPI enumeratedJuly 2, 2022
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address214 50th Ave, 507e, Long Island City, NY 11101-5935

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