Laura Sheila Bardach, D.D.S., M.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13586 Issued in NJ

Practice address

16 Pocono Rd
Suite 116
Denville, NJ 07834-2901

Phone

(973) 627-1220

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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.

• Diamond Spring Dental Associates PA

  • Dentist
  • Denville, NJ
  • NPI 1043323371
  NPD (past) Authorized official
• DS Dental Associates P.C.

  • Dentist
  • Denville, NJ
  • NPI 1639417538
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386864049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 116",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 116",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDACH",
        "first_name": "LAURA",
        "middle_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandeep Kumar Reddy Bandakadi, M.D
• Srinivas Reddy Bandaru, M.D.
• Chitra Ravali Bandlpalli Venkata, M.D.,
• Dana R Banu, MD
• Edward J Barbarito, MD
• Barefoot Rehabilitation Clinic NJ
• Raj Barot
• Richard Lewis Barr, LCSW
• David Barrett III, DC
• Matthew Battillo

• All providers in Denville, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.