Sheila Bahadori, DDS

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Ramsey, NJ

NPI 1104944271 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104944271
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
22DI01928100 (NJ)
Practice address
545 Island Rd
#1A
Ramsey, NJ 07446-2813
Phone
(201) 818-6565
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI01928100NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Dental Group, LLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI01928100 NJ Yes

Addresses

Primary practice location

545 Island Rd
#1A
Ramsey, NJ 07446-2813

Mailing address

545 Island Road
#1A
Ramsey, NJ 07446-1812
Phone (201) 818-6565

Other providers in Ramsey, NJ

All providers in Ramsey, NJ · Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.