Healthcare Provider Details

I. General information

NPI: 1134483902
Provider Name (Legal Business Name): RUSHABH JAYPRAKASH DOSHI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 N COLLINS ST STE 104
ARLINGTON TX
76005-4520
US

IV. Provider business mailing address

2600 LAUREL VALLEY LN
ARLINGTON TX
76006-4018
US

V. Phone/Fax

Practice location:
  • Phone: 682-563-5663
  • Fax:
Mailing address:
  • Phone: 201-920-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30885
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30885
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: