Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942048707 Individual Practitioner Female Practitioner

Raj Patel

Dentist - General Practice • Ormond Beach, FL

Professional Overview & Biography Verified Profile Summary

Raj Patel is a registered healthcare professional specializing in Dentist - General Practice in Ormond Beach, FL. Practice services are available at 3775 ROSCOMMON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3775 Roscommon Dr

Ormond Beach, FL 321742850

Telephone 3865596068
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ormond Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Ormond Beach, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN29449

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MA DL100440

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1417750332

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 20, 2026

Registered at 3775 ROSCOMMON DR, ORMOND BEACH, FL 321742850 (Tel: 3865596068)

📍
Updated Business Mailing Address July 20, 2026

Registered at 136 JOYELLE CIR, DAYTONA BEACH, FL 321242034 (Tel: 9083971654)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2024

Dentist (License #DL100440 in MA)

NPI Profile Active July 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2024

Registered at 326 NICHOLS RD, FITCHBURG, MA 014201914 (Tel: 9788788100)

📍
Updated Business Mailing Address July 16, 2024

Registered at 38A WARREN AVE, WOBURN, MA 018014922 (Tel: 9083971654)

👤
Provider Name / Credentials Updated July 16, 2024

Recorded as RAJ PATEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942048707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2024
Last Update: July 20, 2026
Sole Proprietor: No

Mailing Address

136 Joyelle Cir

Daytona Beach, FL 321242034

Phone: 9083971654

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.