Provider Demographics
NPI:1619985892
Name:DEOL, RASHPAL S (DDS)
Entity Type:Individual
Prefix:DR
First Name:RASHPAL
Middle Name:S
Last Name:DEOL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2276 CAMINO RAMON STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1353
Mailing Address - Country:US
Mailing Address - Phone:925-735-6190
Mailing Address - Fax:925-735-6198
Practice Address - Street 1:2276 CAMINO RAMON STE 150
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1353
Practice Address - Country:US
Practice Address - Phone:925-735-6190
Practice Address - Fax:925-735-6198
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS490891223X2210X, 1223S0112X
CA49089122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X2210XDental ProvidersDentistOrofacial Pain
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery