Provider Demographics
NPI:1396023743
Name:BHATT, ANITA (DMD,MDS)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:BHATT
Suffix:
Gender:F
Credentials:DMD,MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2810
Mailing Address - Country:US
Mailing Address - Phone:508-366-4800
Mailing Address - Fax:508-366-7680
Practice Address - Street 1:210 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2810
Practice Address - Country:US
Practice Address - Phone:508-366-4800
Practice Address - Fax:508-366-7680
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA199771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics