What is Fresh Pediatric Dentistry PC's NPI number?

Fresh Pediatric Dentistry PC's National Provider Identifier (NPI) is 1497488985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Fresh Pediatric Dentistry PC?

Fresh Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).

Where is Fresh Pediatric Dentistry PC located?

Fresh Pediatric Dentistry PC's practice location on file with NPPES is 39 South Fullerton Ave, Montclair, NJ 07042.

What is Fresh Pediatric Dentistry PC's phone number?

The practice phone number listed in the NPPES registry for Fresh Pediatric Dentistry PC is (347) 979-2185.

Who is the authorized official for Fresh Pediatric Dentistry PC?

The authorized official listed on Fresh Pediatric Dentistry PC's NPPES record is Reesha Shah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Fresh Pediatric Dentistry PC's NPI active?

Yes — Fresh Pediatric Dentistry PC's NPI (1497488985) is active in the NPPES registry as of the last update on 2023-06-02.

OrganizationActive

Fresh Pediatric Dentistry PC

NPI 1497488985 · Pediatric Dentistry · Montclair, NJ

Fresh Pediatric Dentistry PC is a Pediatric Dentistry organization in Montclair, NJ (NPI 1497488985).

Provider details

NPI number: 1497488985
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Organization subpart: No
Authorized official: Reesha Shah, Owner(617) 708-5108

Practice location

39 South Fullerton Ave

Suite 10

Montclair, NJ 07042

Phone: (347) 979-2185

Street-level locationGet directions

More NJ providers

Mailing address

214 50th Ave

Long Island City, NY 11101-5935

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221X
Dental Providers
Orthodontics and Dentofacial Orthopedics Dentistry1223X0400X
Dental Providers

Other names (DBA / former)

Doing business as: Sparkles Dentistry for Children
Former legal business name: Sparkles Pediatric Dentistry of Montclair PC

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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.

Enumerated: 2022-07-02
Last updated: 2023-06-02
Certified: 2023-06-02

Frequently asked questions

What is Fresh Pediatric Dentistry PC's NPI number?: Fresh Pediatric Dentistry PC's National Provider Identifier (NPI) is 1497488985, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Fresh Pediatric Dentistry PC?: Fresh Pediatric Dentistry PC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
Where is Fresh Pediatric Dentistry PC located?: Fresh Pediatric Dentistry PC's practice location on file with NPPES is 39 South Fullerton Ave, Montclair, NJ 07042.
What is Fresh Pediatric Dentistry PC's phone number?: The practice phone number listed in the NPPES registry for Fresh Pediatric Dentistry PC is (347) 979-2185.
Who is the authorized official for Fresh Pediatric Dentistry PC?: The authorized official listed on Fresh Pediatric Dentistry PC's NPPES record is Reesha Shah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Fresh Pediatric Dentistry PC's NPI active?: Yes — Fresh Pediatric Dentistry PC's NPI (1497488985) is active in the NPPES registry as of the last update on 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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions