Provider Demographics
NPI:1689286254
Name:DOLIA, RAJDEEPSINH NARENDRASINH (DMD)
Entity type:Individual
Prefix:
First Name:RAJDEEPSINH
Middle Name:NARENDRASINH
Last Name:DOLIA
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 WILKINSON BLVD UNIT B2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5662
Mailing Address - Country:US
Mailing Address - Phone:704-900-5445
Mailing Address - Fax:704-900-5443
Practice Address - Street 1:3210 WILKINSON BLVD UNIT B2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-5662
Practice Address - Country:US
Practice Address - Phone:704-900-5445
Practice Address - Fax:704-900-5443
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC125361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice