Chandi DDS LLC

Organization Active NPI General Practice Dentistry · Washington, MO

NPI 1104397520 · NPPES record last updated Jun 20, 2023

Key facts

NPI
1104397520
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CHANDI DDS LLC
Practice address
3155 Phoenix Center Dr
Washington, MO 63090-5689
Phone
(636) 431-2021
NPI assigned
Dec 11, 2018
Organization subpart
No

Authorized official

Name
Kiranjot Chandi
Title
Owner
Phone
(636) 431-2025

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3155 Phoenix Center Dr
Washington, MO 63090
Phone (636) 223-4393

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

3155 Phoenix Center Dr
Washington, MO 63090-5689

Mailing address

PO Box 70887
Cleveland, OH 44190-0887

Other providers in Washington, MO

All providers in Washington, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.