Provider Demographics
NPI:1194282699
Name:CHADDA DENTAL P.C
Entity type:Organization
Organization Name:CHADDA DENTAL P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIPRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADDA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-479-7501
Mailing Address - Street 1:186 UNION AVE UNIT G
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8295
Mailing Address - Country:US
Mailing Address - Phone:508-479-7501
Mailing Address - Fax:508-309-7441
Practice Address - Street 1:186 UNION AVE UNIT G
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8295
Practice Address - Country:US
Practice Address - Phone:508-202-9660
Practice Address - Fax:508-309-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty