Provider Demographics
NPI:1487928941
Name:JOSHI, KAJAL (DMD)
Entity type:Individual
Prefix:DR
First Name:KAJAL
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:KAJAL
Other - Middle Name:BHAVESH
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:722 S PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-6606
Mailing Address - Country:US
Mailing Address - Phone:630-469-7696
Mailing Address - Fax:630-469-7877
Practice Address - Street 1:722 S PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189
Practice Address - Country:US
Practice Address - Phone:630-469-7696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0406331223P0221X
IL0210026041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry