Provider Demographics
NPI:1194272161
Name:GAINDH, RUPALI (DMD)
Entity type:Individual
Prefix:
First Name:RUPALI
Middle Name:
Last Name:GAINDH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1275
Mailing Address - Country:US
Mailing Address - Phone:207-650-6139
Mailing Address - Fax:215-921-6123
Practice Address - Street 1:10 CANTERBURY LANE
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1275
Practice Address - Country:US
Practice Address - Phone:207-650-6139
Practice Address - Fax:215-921-6123
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041006122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist