Provider Demographics
NPI:1134380165
Name:RAJASKI, JEFFREY A (DDS)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:RAJASKI
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 1:195 STOCK ST STE 310
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2271
Mailing Address - Country:US
Mailing Address - Phone:717-633-5874
Mailing Address - Fax:717-646-0742
Practice Address - Street 1:195 STOCK ST STE 310
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2271
Practice Address - Country:US
Practice Address - Phone:717-633-5874
Practice Address - Fax:717-646-0742
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0416041223G0001X
MD129011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice