Provider Demographics
NPI:1891367967
Name:SANGHVI, KUNJ BHUPESHCHANDRA (DDS)
Entity Type:Individual
Prefix:
First Name:KUNJ
Middle Name:BHUPESHCHANDRA
Last Name:SANGHVI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2273
Mailing Address - Country:US
Mailing Address - Phone:201-682-8698
Mailing Address - Fax:
Practice Address - Street 1:1152 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-2045
Practice Address - Country:US
Practice Address - Phone:201-682-8698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261471223G0001X
NJ22DI028792001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice