Provider Demographics
NPI:1831151554
Name:DAGLI, PRITI (DDS)
Entity type:Individual
Prefix:
First Name:PRITI
Middle Name:
Last Name:DAGLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 PLAINSBORO RD STE 540
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3028
Mailing Address - Country:US
Mailing Address - Phone:609-716-7100
Mailing Address - Fax:
Practice Address - Street 1:666 PLAINSBORO RD STE 540
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3028
Practice Address - Country:US
Practice Address - Phone:609-716-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice