Provider Demographics
NPI:1063733830
Name:SAUNDERS-FIDDERMON, CHIKARA JAMILA (DDS)
Entity type:Individual
Prefix:DR
First Name:CHIKARA
Middle Name:JAMILA
Last Name:SAUNDERS-FIDDERMON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CHIKARA
Other - Middle Name:JAMILA
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5108 JERSEY RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3133
Mailing Address - Country:US
Mailing Address - Phone:633-550-4375
Mailing Address - Fax:
Practice Address - Street 1:2830 CAMPUS WAY N STE 614
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1669
Practice Address - Country:US
Practice Address - Phone:301-955-9198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014153451223P0221X
IADDS-100421223P0221X
MD149161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry