Provider Demographics
NPI:1487828299
Name:CHAUDHRY, JUNAID K (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:K
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 S EASTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-3901
Mailing Address - Country:US
Mailing Address - Phone:215-887-7788
Mailing Address - Fax:215-887-7484
Practice Address - Street 1:254 S EASTON RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-3901
Practice Address - Country:US
Practice Address - Phone:215-887-7788
Practice Address - Fax:215-887-7484
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029793L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist