Provider Demographics
NPI:1962988519
Name:BHORE, RAJANI
Entity type:Individual
Prefix:
First Name:RAJANI
Middle Name:
Last Name:BHORE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 SPICEWOOD SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8540
Mailing Address - Country:US
Mailing Address - Phone:512-660-5008
Mailing Address - Fax:
Practice Address - Street 1:4505 SPICEWOOD SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8540
Practice Address - Country:US
Practice Address - Phone:512-660-5008
Practice Address - Fax:512-660-5008
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02725200122300000X
TX36112122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist