Healthcare Provider Details

I. General information

NPI: 1336061076
Provider Name (Legal Business Name): RAD DENTAL SLEEP MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 SUNSET RD STE 105
BURLINGTON NJ
08016-3645
US

IV. Provider business mailing address

811 SUNSET RD STE 105
BURLINGTON NJ
08016-3645
US

V. Phone/Fax

Practice location:
  • Phone: 609-479-3757
  • Fax: 609-526-4122
Mailing address:
  • Phone: 609-479-3757
  • Fax: 609-526-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL DORFNER
Title or Position: OWNER
Credential: DMD
Phone: 609-479-3757