Provider Demographics
NPI:1821727256
Name:BHARDWAJ, PRINCY (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRINCY
Middle Name:
Last Name:BHARDWAJ
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 1:675 MONMOUTH ST APT 617
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1340
Mailing Address - Country:US
Mailing Address - Phone:133-223-4723
Mailing Address - Fax:
Practice Address - Street 1:2115 US HIGHWAY 22 W STE 3
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8409
Practice Address - Country:US
Practice Address - Phone:908-364-4164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029056001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice