=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104767763
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AHUJA DENTAL NEW ROCHELLE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2026
-----------------------------------------------------
Last Update Date | 04/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 RADISSON PLZ STE 903
-----------------------------------------------------
City | NEW ROCHELLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10801-5766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-456-5089
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 RADISSON PLZ STE 903
-----------------------------------------------------
City | NEW ROCHELLE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10801-5766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-456-5089
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DDS
-----------------------------------------------------
Name | ARSH AHUJA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-456-5089
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------