Provider Demographics
NPI:1134305774
Name:BHAGIA, BHAVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:BHAVI
Middle Name:
Last Name:BHAGIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PRESTWICK WAY
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4689
Mailing Address - Country:US
Mailing Address - Phone:848-248-1707
Mailing Address - Fax:
Practice Address - Street 1:253 TALMADGE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2833
Practice Address - Country:US
Practice Address - Phone:848-248-1707
Practice Address - Fax:732-951-8488
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02295300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist