Provider Demographics
NPI:1104001205
Name:SAPNA P. CHANDRA, DMD, PA
Entity Type:Organization
Organization Name:SAPNA P. CHANDRA, DMD, PA
Other - Org Name:REFLECTIONS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAPNA
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-405-7075
Mailing Address - Street 1:10411 MONCREIFFE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7819
Mailing Address - Country:US
Mailing Address - Phone:919-405-7075
Mailing Address - Fax:919-405-1302
Practice Address - Street 1:10411 MONCREIFFE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7819
Practice Address - Country:US
Practice Address - Phone:919-405-7075
Practice Address - Fax:919-405-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7260122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty