OrganizationActive
Fresh Pediatric Dentistry PC
NPI 1497488985 · Pediatric Dentistry · Montclair, NJ
Provider details
- NPI number
- 1497488985
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reesha Shah, Owner(617) 708-5108
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
39 South Fullerton Ave
Suite 10
Montclair, NJ 07042
Phone: (347) 979-2185
Street-level locationGet directions
Mailing address
214 50th Ave
Long Island City, NY 11101-5935
Other names (DBA / former)
- Doing business as
- Sparkles Dentistry for Children
- Former legal business name
- Sparkles Pediatric Dentistry of Montclair PC
Registry dates
- Enumerated
- 2022-07-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.