# DR. RAJEEV K. UPADYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689704454
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02107700 | NJ | Yes |
| 122300000X | Dentist | DI02107700 | NJ | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DI02107700 | NJ BOARD OF DENTISTRY | NJ |