# PRAFULL M DOSHI, D.D.S. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265658280
- **Authorized official:** DR. PRAFULL M DOSHI DDS (OWNER)
- **Authorized official phone:** (610) 926-9300

## Contact information

- **Practice address:** 1032 PARK RD, BLANDON, PA 19510-9558
- **Practice address phone:** (610) 926-9300
- **Practice address fax:** (610) 926-8622
- **Mailing address:** 1032 PARK RD, BLANDON, PA 19510-9558
- **Mailing address phone:** (610) 926-9300
- **Mailing address fax:** (610) 926-8622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DSO19781-L | PA | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000044787 | DENTAL BENEFIT PROVIDERS | PA |
| 01 | — | 000000190326 | MED ASST UNISON | PA |
| 01 | — | 0005419191 | AETNA | PA |
| 01 | — | 1313837 | UNITED CONCORDIA | — |
| 01 | — | 9184421 | MEDICAL ASSISTANCE (DORAL | PA |