Provider Demographics
NPI:1972170280
Name:BINITA CHANGKAKOTY, DDS, PLLC
Entity type:Organization
Organization Name:BINITA CHANGKAKOTY, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BINITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANGKAKOTY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:980-224-0707
Mailing Address - Street 1:2629 DUNLAVIN WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3326
Mailing Address - Country:US
Mailing Address - Phone:908-906-5705
Mailing Address - Fax:
Practice Address - Street 1:2501 THE PLAZA
Practice Address - Street 2:SUITE 3
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205
Practice Address - Country:US
Practice Address - Phone:980-224-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-06
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty