Provider Demographics
NPI:1932835873
Name:KAPADIA, RUCHA (DDS)
Entity Type:Individual
Prefix:
First Name:RUCHA
Middle Name:
Last Name:KAPADIA
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 1:1020 GREEN ACRES RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-1765
Mailing Address - Country:US
Mailing Address - Phone:458-210-3542
Mailing Address - Fax:541-504-3907
Practice Address - Street 1:1020 GREEN ACRES RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-1765
Practice Address - Country:US
Practice Address - Phone:458-210-3542
Practice Address - Fax:541-504-3907
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD116571223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist