Abhishek Chaudhary
Individual provider Active NPI Dentist · Corning, CA
NPI 1063984656 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1063984656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS103389 (CA)
- Practice address
- 740 Solano St
Corning, CA 96021-3352 - Phone
- (661) 665-0080
- NPI assigned
- Dec 20, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103389 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phi Huynh and Bryan Watanabe Dental Corporation | Past | Accepting new patients | |
| Rolling Hills Clinic | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS103389 | CA | Yes |
Addresses
Primary practice location
740 Solano St
Corning, CA 96021-3352
Mailing address
11120 Stockdale Hwy Ste 103
Bakersfield, CA 93311-3680
Phone (661) 665-0080
Other names
- Fnu Abhishek
Other providers in Corning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.