Provider Demographics
NPI:1073728366
Name:CHELURY, MEENA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEENA
Middle Name:
Last Name:CHELURY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 JAMESTOWNE CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9413
Mailing Address - Country:US
Mailing Address - Phone:919-929-3348
Mailing Address - Fax:
Practice Address - Street 1:1635 JAMESTOWNE CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9413
Practice Address - Country:US
Practice Address - Phone:919-929-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist