Provider Demographics
NPI:1972506566
Name:KAPADIA, KIRTIKUMAR VADILAL (DDS)
Entity type:Individual
Prefix:DR
First Name:KIRTIKUMAR
Middle Name:VADILAL
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9531
Mailing Address - Country:US
Mailing Address - Phone:610-779-9324
Mailing Address - Fax:610-374-3979
Practice Address - Street 1:13 N 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3408
Practice Address - Country:US
Practice Address - Phone:610-374-4150
Practice Address - Fax:610-374-3979
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS20857-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice