Provider Demographics
NPI:1366916421
Name:POKRAJAC, DRAGINJA (RDH)
Entity type:Individual
Prefix:MISS
First Name:DRAGINJA
Middle Name:
Last Name:POKRAJAC
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HILLSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3968
Mailing Address - Country:US
Mailing Address - Phone:802-363-6289
Mailing Address - Fax:
Practice Address - Street 1:101 FAIRMONT PL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05408-1929
Practice Address - Country:US
Practice Address - Phone:802-363-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT015.0104814124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist