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

Dr. Bansari Modi Shah, DDS

Individual provider Dentist · NPI 1396082228

Dr. Bansari Modi Shah, DDS is a Dentist in Montclair, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

76 Bellevue Ave
Montclair, NJ 07043-2430
Phone: (973) 744-3127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22D102519200 (NJ)

Record details

NPI number1396082228
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 11, 2013
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address98 Windsor Dr, Pine Brook, NJ 07058-9654

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