Rajal J Patel, D.D.S.

Individual provider Active NPI General Practice Dentistry · Orange, NJ

NPI 1699987206 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1699987206
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
22D101942400 (NJ)
Practice address
30 Scotland Rd
Orange, NJ 07050-1418
Phone
(973) 673-1311
Fax
(973) 673-6445
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
22D101942400NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yogi Dental Center General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22D101942400 NJ Yes

Addresses

Primary practice location

30 Scotland Rd
Orange, NJ 07050-1418

Mailing address

30 Scotland Rd
Orange, NJ 07050-1418
Phone (973) 673-1311

Other providers in Orange, NJ

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

Sources for this page

Verify at the official NPI Registry.