OrganizationActive
Rajiv Tuladhar DMD Holdings, PLLC
NPI 1265808455 · General Practice Dentistry · Fort Walton Beach, FL
Provider details
- NPI number
- 1265808455
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kim Van Camp, Provider Relations Specialist(315) 454-6000
- License
- DN20980 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 Mary Esther Blvd Ste 2
Fort Walton Beach, FL 32548
Phone: (850) 659-3119
Fax: (850) 243-0245
Street-level locationGet directions
Mailing address
516 Mary Esther Blvd
Fort Walton Beach, FL 32548
Other names (DBA / former)
- Doing business as
- Aspen Dental
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.