MEDICARE: DR. ARJUN RADHEY MEHTA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	056923	NY

General Provider Information

NPI Number	:	1407281298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARJUN RADHEY MEHTA DMD

Provider Business Mailing Address
First Line	:	225 78TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3035
Country	:	US
Telephone Number	:	718-833-5264
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 6TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3314
Country	:	US
Telephone Number	:	718-759-9669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/11/2013

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