=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336061076
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAD DENTAL SLEEP MEDICINE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2026
-----------------------------------------------------
Last Update Date | 07/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 811 SUNSET RD STE 105
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08016-3645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-479-3757
-----------------------------------------------------
Fax | 609-526-4122
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 811 SUNSET RD STE 105
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08016-3645
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-479-3757
-----------------------------------------------------
Fax | 609-526-4122
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. RACHEL DORFNER
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 609-479-3757
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332BC3200X
-----------------------------------------------------
Taxonomy Name | Customized Equipment (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------