Provider Demographics
NPI:1992765184
Name:RAJCHEL, JEFFREY LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LEE
Last Name:RAJCHEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2201 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1003
Mailing Address - Country:US
Mailing Address - Phone:717-652-5002
Mailing Address - Fax:717-652-5400
Practice Address - Street 1:2201 DOVER RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1003
Practice Address - Country:US
Practice Address - Phone:717-652-5002
Practice Address - Fax:717-652-5400
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027923L1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020611093OtherMETLIFE DENTAL
PA2906401OtherAETNA-POS
PA5001032OtherKEYSTONE HEALTH PLAN
PA020611093OtherMAMSI
PA545787OtherUNITED CONCORDIA
PA020611093OtherGUARDIAN DENTAL
PA001416561OtherHIGHMARK
PA020611093OtherDELTA USA
PA2904265OtherAETNA-HMO
PA020611093OtherAMERITAS
PA188492OtherHEALTH AMERICA
PA188492OtherHEALTH ASSURANCE
PA4214087OtherAETNA-NON HMO
PA020611093OtherCIGNA DENTAL
PA020611093OtherDELTA DENTAL
PA020611093OtherDENTAMAX
PA020611093OtherFIDELIO
PA50001032OtherCAPITAL BLUE CROSS
PA5001032OtherKEYSTONE HEALTH PLAN
PA064531Medicare ID - Type Unspecified