Provider Demographics
NPI:1275687691
Name:AYGARI, VISHALI (DMD)
Entity Type:Individual
Prefix:DR
First Name:VISHALI
Middle Name:
Last Name:AYGARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 BURR AVE
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1208
Mailing Address - Country:US
Mailing Address - Phone:732-617-2276
Mailing Address - Fax:732-431-1945
Practice Address - Street 1:24 PLAZA 9
Practice Address - Street 2:VISHALI NANDIWADA DMD ALL SMILES DENTAL CENTER
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726
Practice Address - Country:US
Practice Address - Phone:732-431-2622
Practice Address - Fax:732-431-1945
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020029001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0052272Medicaid
NJ0510OtherHORIZON DENTAL CHOICE