Provider Demographics
NPI:1518851922
Name:RANADIVE, PRANJALI SHREYAS (DMD)
Entity type:Individual
Prefix:
First Name:PRANJALI
Middle Name:SHREYAS
Last Name:RANADIVE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WELSFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-4017
Mailing Address - Country:US
Mailing Address - Phone:443-202-9759
Mailing Address - Fax:
Practice Address - Street 1:233 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-2109
Practice Address - Country:US
Practice Address - Phone:610-377-5948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS045152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist