Provider Demographics
NPI:1386876175
Name:CHADHA, RITU J (DMD)
Entity type:Individual
Prefix:DR
First Name:RITU
Middle Name:J
Last Name:CHADHA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:RITU
Other - Middle Name:
Other - Last Name:BAGGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:34669 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-2152
Mailing Address - Country:US
Mailing Address - Phone:727-786-9144
Mailing Address - Fax:727-786-9155
Practice Address - Street 1:34669 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2152
Practice Address - Country:US
Practice Address - Phone:727-786-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN187561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice