Provider Demographics
NPI:1427746932
Name:DHADUK, PUJA NARENDRA (DMD)
Entity type:Individual
Prefix:DR
First Name:PUJA
Middle Name:NARENDRA
Last Name:DHADUK
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 ON THE GRN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-9473
Mailing Address - Country:US
Mailing Address - Phone:717-383-3878
Mailing Address - Fax:
Practice Address - Street 1:9400 BRIER CREEK PKWY STE 204
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6519
Practice Address - Country:US
Practice Address - Phone:919-336-2981
Practice Address - Fax:919-249-1375
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC135821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice