Healthcare Provider Details

I. General information

NPI: 1497763379
Provider Name (Legal Business Name): RAJASHREE KARANDIKAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 WASHINGTON AVE
MANVILLE NJ
08835-1846
US

IV. Provider business mailing address

3 MOORES GROVE CT
SKILLMAN NJ
08558-2251
US

V. Phone/Fax

Practice location:
  • Phone: 908-722-6500
  • Fax: 908-722-7206
Mailing address:
  • Phone: 609-903-5519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number19470
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: