Shipra Chadda, DMD
Individual provider Active NPI Dentist · Hyde Park, MA
NPI 1558675348 · NPPES record last updated Feb 21, 2019
Key facts
- NPI
- 1558675348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN1855526 (MA)
- Practice address
- 1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819 - Phone
- (617) 361-6996
- Fax
- (617) 361-7295
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| DN155526 | MA | MD | Dentist |
| DN1855526 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chadda Dental P.C | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN155526 | MA | |
| Dentist | 122300000X | DN1855526 | MA | Yes |
Addresses
Primary practice location
1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819
Mailing address
1234 Hyde Park Ave Ste 103
Hyde Park, MA 02136-2819
Phone (617) 361-6996
Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2019. 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.