Provider Demographics
NPI:1225999295
Name:B&H DENTISTRY PLLC
Entity type:Organization
Organization Name:B&H DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHALA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-418-6806
Mailing Address - Street 1:401 E ONTARIO ST APT 2302
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-7179
Mailing Address - Country:US
Mailing Address - Phone:310-418-6806
Mailing Address - Fax:
Practice Address - Street 1:500 DAVIS ST STE 106
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4600
Practice Address - Country:US
Practice Address - Phone:310-418-6806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty