Provider Demographics
NPI:1427275379
Name:HARDIKAR, CHITRA (DMD)
Entity type:Individual
Prefix:DR
First Name:CHITRA
Middle Name:
Last Name:HARDIKAR
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5306 SIX FORKS RD STE 109
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4468
Mailing Address - Country:US
Mailing Address - Phone:919-789-4166
Mailing Address - Fax:919-789-4895
Practice Address - Street 1:5306 SIX FORKS RD
Practice Address - Street 2:STE 109
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-789-4166
Practice Address - Fax:919-789-4895
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCD99961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice