Provider Demographics
NPI:1336587435
Name:KAPOOR, RADHIKA (DDS)
Entity type:Individual
Prefix:DR
First Name:RADHIKA
Middle Name:
Last Name:KAPOOR
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 1:33-41 NEWARK ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5627
Mailing Address - Country:US
Mailing Address - Phone:201-683-7018
Mailing Address - Fax:
Practice Address - Street 1:33-41 NEWARK ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5627
Practice Address - Country:US
Practice Address - Phone:201-683-7018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22D1025410001223P0221X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry