National Provider Identifier
Rahul Renjen, DDS
Rahul Renjen, DDS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Ithaca, NY and a listed phone number of (716) 523-1885.
Profile Overview
- NPI
- 1376677633
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- March 16, 2007
- Last Updated
- April 14, 2015
Practice Location
- 103 White Park RD
- Ithaca, NY 14850-2258
Phone: (716) 523-1885
Mailing Address
- 2124 Penfield RD
- Penfield, NY 14526-1736
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1376677633
- Entity Type
- Individual
- Last Name
- Renjen
- First Name
- Rahul
- Credential
- DDS
- Mailing Street Address
- 2124 Penfield RD
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1736
- Mailing Country
- US
- Mailing Phone
- (585) 432-0455
- Practice Street Address
- 103 White Park RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2258
- Practice Country
- US
- Practice Phone
- (716) 523-1885
- Enumeration Date
- March 16, 2007
- Last Updated
- April 14, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
- Other Identifiers
- 02898355 (NY), 1020266440001 (PA)