Provider Demographics
NPI:1518610260
Name:CHATTERJEE, RHITI
Entity Type:Individual
Prefix:DR
First Name:RHITI
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-1738
Mailing Address - Country:US
Mailing Address - Phone:573-514-3912
Mailing Address - Fax:
Practice Address - Street 1:1943 SAWYER RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-1738
Practice Address - Country:US
Practice Address - Phone:573-514-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1002751-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist