Provider Demographics
NPI:1790664001
Name:RAHEN KAKADIA DDS PLLC
Entity type:Organization
Organization Name:RAHEN KAKADIA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RAHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-679-6624
Mailing Address - Street 1:2016 NEW GARDEN RD STE D
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2502
Mailing Address - Country:US
Mailing Address - Phone:336-288-4499
Mailing Address - Fax:
Practice Address - Street 1:2016 NEW GARDEN RD STE D
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2502
Practice Address - Country:US
Practice Address - Phone:336-288-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental