Provider Demographics
NPI:1881871986
Name:RAJAI, ALI (DDS)
Entity type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:RAJAI
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 1:11670 JONES BRIDGE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-2540
Mailing Address - Country:US
Mailing Address - Phone:770-751-8800
Mailing Address - Fax:770-754-8854
Practice Address - Street 1:11670 JONES BRIDGE RD
Practice Address - Street 2:SUITE C
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-2540
Practice Address - Country:US
Practice Address - Phone:770-751-8800
Practice Address - Fax:770-754-8854
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist