Provider Demographics
NPI:1164301834
Name:VR DENTAL PC
Entity type:Organization
Organization Name:VR DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-583-8009
Mailing Address - Street 1:740 HIGHWAY 34 STE A
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6688
Mailing Address - Country:US
Mailing Address - Phone:732-583-8009
Mailing Address - Fax:732-583-6969
Practice Address - Street 1:740 HIGHWAY 34 STE A
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-6688
Practice Address - Country:US
Practice Address - Phone:732-583-8009
Practice Address - Fax:732-583-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty