Healthcare Provider Details

I. General information

NPI: 1336759802
Provider Name (Legal Business Name): DHARABEN GAJJAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CASHUA ST
DARLINGTON SC
29532-3301
US

IV. Provider business mailing address

8906 TWO NOTCH RD
COLUMBIA SC
29223-6366
US

V. Phone/Fax

Practice location:
  • Phone: 843-393-7452
  • Fax: 843-393-6210
Mailing address:
  • Phone: 803-254-3676
  • Fax: 803-254-3678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9700
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: