Pinky Bhavsar, DMD
Individual provider Active NPI General Practice Dentistry · Long Branch, NJ
NPI 1104182773 · NPPES record last updated Jul 5, 2012
Key facts
- NPI
- 1104182773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI02491800 (NJ)
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-8566
- NPI assigned
- Apr 7, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02491800 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02491800 | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
300 2ND Ave
Long Branch, NJ 07740-6303
Other providers in Long Branch, NJ
- Alessandra S Bekhet
- Sofia Berardi
- Sonia Bhala
- Hardikkumar Jayantibhai Bhanderi
- Vinay Bhardwaj
- Poorva Prashant Bhide
- Renu Bhuju
- Stephanie Bianchi
- Kevin Birnie
- Danny Bishara
All providers in Long Branch, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.