Gupta, Rajan

Gupta, Rajan is an individual health care provider with primary practice located at 9918 Illinois Rd , Fort Wayne IN 46804-5770. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Gupta, Rajan can be contacted via phone (260) 888-3502.

Contact Information

Primary practice address
9918 Illinois Rd Fort Wayne IN 46804-5770
Phone: (260) 888-3502
Fax: (260) 233-6656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD4363 New Mexico
Dental Providers / Endodontics 1223E0200X 12013764A Indiana

Profile Details

NPI number 1841673951
LBN Legal business name Gupta, Rajan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Apr 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841673951 NPPES
Indiana Other 12013764A DENTAL BOARD

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