Provider Demographics
NPI:1124237672
Name:CHHATPAR, LEENA (DDS)
Entity type:Individual
Prefix:DR
First Name:LEENA
Middle Name:
Last Name:CHHATPAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 JOAN LN
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-1417
Mailing Address - Country:US
Mailing Address - Phone:516-249-5525
Mailing Address - Fax:
Practice Address - Street 1:10324 127TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2230
Practice Address - Country:US
Practice Address - Phone:718-925-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046259122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist