MEDICARE: DR. BHARGAV JAYENDRA DARJI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	13737	NC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1598454944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHARGAV JAYENDRA DARJI DMD

Provider Business Mailing Address
First Line	:	8631 ARBOR CREEK DR # 3
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-0547
Country	:	US
Telephone Number	:	704-875-9075
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 BILLINGSLEY RD STE 106
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1066
Country	:	US
Telephone Number	:	704-368-3982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	12/13/2025

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