Provider Demographics
NPI:1699987206
Name:PATEL, RAJAL J (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJAL
Middle Name:J
Last Name:PATEL
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 1:30 SCOTLAND RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-1418
Mailing Address - Country:US
Mailing Address - Phone:973-673-1311
Mailing Address - Fax:973-673-6445
Practice Address - Street 1:30 SCOTLAND RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1418
Practice Address - Country:US
Practice Address - Phone:973-673-1311
Practice Address - Fax:973-673-6445
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1019424001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice