Individual provider · Type 1 NPI

Rucha Thakkar

Pediatric Dentistry · Hoboken, NJ

NPI number 1164100012 Active

Practice location

333 15th St Ste 3A
Hoboken, NJ 07030-3429

Call (201) 685-0171 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X065870 (NY)
Pediatric Dentistry Primary 1223P0221X22DI03080600 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1164100012

Rucha Thakkar's National Provider Identifier is 1164100012, issued on Jul 10, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hoboken, NJ. The record was last updated on Oct 16, 2026.