Purvi Desai, D.D.S.

Individual provider Active NPI General Practice Dentistry · Skillman, NJ

NPI 1295881472 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295881472
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DI 19649 (NJ)
Practice address
995 Route 518
Skillman, NJ 08558-2617
Phone
(609) 683-5651
Fax
(609) 683-4856
NPI assigned
Jan 28, 2007
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

LicenseStateTypeSpecialty
DI 19649NJMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 19649 NJ Yes

Addresses

Primary practice location

995 Route 518
Skillman, NJ 08558-2617

Mailing address

995 Route 518
Skillman, NJ 08558-2617
Phone (609) 683-5651

Other providers in Skillman, NJ

All providers in Skillman, NJ · General Practice Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.