Healthcare Provider Details

I. General information

NPI: 1598454944
Provider Name (Legal Business Name): BHARGAV JAYENDRA DARJI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 BILLINGSLEY RD STE 106
CHARLOTTE NC
28211-1066
US

IV. Provider business mailing address

8631 ARBOR CREEK DR # 3
CHARLOTTE NC
28269-0547
US

V. Phone/Fax

Practice location:
  • Phone: 704-368-3982
  • Fax:
Mailing address:
  • Phone: 704-875-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number13737
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: