Provider Demographics
NPI:1255746814
Name:KASWALA, RAJESH HANSRAJBHAI (DMD)
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:HANSRAJBHAI
Last Name:KASWALA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6722 ARBORDEAU LN
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8794
Mailing Address - Country:US
Mailing Address - Phone:732-734-1491
Mailing Address - Fax:
Practice Address - Street 1:800 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1535
Practice Address - Country:US
Practice Address - Phone:732-429-6911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18569751223G0001X
NJ22DI025722001223G0001X
TX306941223G0001X
PADS0401661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice