Provider Demographics
NPI:1558673111
Name:CHHIBBER, SURABHI (BDS)
Entity Type:Individual
Prefix:DR
First Name:SURABHI
Middle Name:
Last Name:CHHIBBER
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:SURABHI
Other - Middle Name:
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3808 WINDSOR BRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-2152
Mailing Address - Country:US
Mailing Address - Phone:860-543-9304
Mailing Address - Fax:
Practice Address - Street 1:660 DOVER CENTER RD
Practice Address - Street 2:#17
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2376
Practice Address - Country:US
Practice Address - Phone:440-892-5556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-11
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0572761223P0221X
OH30-246631223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry