National Provider Identifier

Radhika Thakkar, BDS, MPH

Radhika Thakkar, BDS, MPH is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 275-5051.

NPI 1508559303Rochester, NYDentist

Profile Overview

NPI
1508559303
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 30, 2023
Last Updated
July 24, 2024

Practice Location

  • 625 Elmwood Ave
  • Rochester, NY 14620-2913

Phone: (585) 275-5051

Mailing Address

  • 22 Webster Manor Dr Apt 4
  • Webster, NY 14580-2011

Specialties

  • Dentist (122300000X)
  • General Practice Dentistry (1223G0001X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1508559303
Entity Type
Individual
Last Name
Thakkar
First Name
Radhika
Name Prefix
Dr.
Credential
BDS, MPH
Provider Other Last Name
Thakkar
Provider Other First Name
Radhika
Provider Other Middle Name
Rameshbhai
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
BDS, MPH
Provider Other Last Name Type Code
5
Mailing Street Address
22 Webster Manor Dr Apt 4
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2011
Mailing Country
US
Mailing Phone
(201) 289-3974
Practice Street Address
625 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
May 30, 2023
Last Updated
July 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X), General Practice Dentistry (1223G0001X), Student in an Organized Health Care Education/Training Program (390200000X)
Other Identifiers
063976 (NY, Ny Dentist License)