Active NPIIndividual providerSole proprietor

Dr. Raj V Dulala, BDS, DMD

Dentist, General Practice in Pawtucket, Rhode Island

NPI Number1649310988
Practice location
1571 Newport Ave, Suite2, Pawtucket, RI 02861-1351
Fax
401-725-9755
Last updated
July 9, 2007

Raj Venkat Dulala is a Dentist, General Practice based in Pawtucket, RI. Raj Venkat Dulala practices in Pawtucket, RI and has the professional credentials of BDS, DMD. The NPI Number for Raj Venkat Dulala is 1649310988 and holds a License No. DEN-02635 (RI). The current practice location address for Raj Venkat Dulala is 1571 Newport Ave, Suite2, Pawtucket, RI 02861-1351 and can be reached out via phone at 401-722-3344 and via fax at 401-725-9755.

Provider Profile Details

NPI Number
1649310988
Provider Name
Raj Venkat Dulala
Credential
BDS, DMD
Provider Entity Type
Individual
Gender
Male
Address
1571 Newport Ave, Suite2, Pawtucket, RI 02861-1351
Phone Number
401-722-3344
Fax Number
401-725-9755
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 7, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1571 Newport Ave
Suite2
Pawtucket, RI 02861-1351
Zip
02861-1351
Phone Number
401-722-3344
Fax Number
401-725-9755
Pawtucket, RI 02861Get directions →

Provider Business Mailing Address Details

Address
36 Vincent RD
Mendon, MA 01756-1371
City
Mendon
State
MA
Zip
01756-1371
Phone Number
508-634-6837
Fax Number
401-725-9755

License Information

License Number (1)
DEN-02635
License State (1)
RI
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
19429
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Raj V Dulala, BDS, DMD?

The NPI number of Dr. Raj V Dulala, BDS, DMD is 1649310988. It was assigned on February 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Raj V Dulala, BDS, DMD?

Dr. Raj V Dulala, BDS, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN-02635.

Where does Dr. Raj V Dulala, BDS, DMD practice?

The practice location is 1571 Newport Ave, Suite2, Pawtucket, RI 02861-1351. The office can be reached at 401-722-3344 (phone) or 401-725-9755 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649310988 directly on the NPPES registry website.

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