Provider Demographics
NPI:1699577072
Name:RAJDEEPSINH DOLIA, DMD PLLC
Entity type:Organization
Organization Name:RAJDEEPSINH DOLIA, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAJDEEPSINH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:601-462-8433
Mailing Address - Street 1:3210 WILKINSON BLVD UNIT B2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5662
Mailing Address - Country:US
Mailing Address - Phone:704-900-5445
Mailing Address - Fax:704-900-5443
Practice Address - Street 1:3210 WILKINSON BLVD UNIT B2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5662
Practice Address - Country:US
Practice Address - Phone:704-900-5445
Practice Address - Fax:704-900-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty