Provider Demographics
NPI:1316689540
Name:SHAHAR, JENNIFER BELLA (DDS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BELLA
Last Name:SHAHAR
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 1:15 PICATINNY RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4813
Mailing Address - Country:US
Mailing Address - Phone:973-223-8902
Mailing Address - Fax:
Practice Address - Street 1:110 E 87TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4101
Practice Address - Country:US
Practice Address - Phone:212-369-2213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0646741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics