Rajdeep Batth, DDS
Individual provider Active NPI Dentist · Maplewood, MN
NPI 1003481797 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1003481797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D14525 (MN)
- Practice address
- 1670 Beam Ave Ste 204
Maplewood, MN 55109-1227 - Phone
- (651) 925-8423
- Fax
- (651) 773-7568
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14525 | MN | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14525 | MN | Yes |
Addresses
Primary practice location
1670 Beam Ave Ste 204
Maplewood, MN 55109-1227
Mailing address
1005 29TH Ave SE Apt F
Minneapolis, MN 55414-2743
Phone (213) 547-0762
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.