Provider Demographics
NPI:1639481294
Name:CHHIBBER, ADITYA (BDS, MDS, M DENT SC)
Entity Type:Individual
Prefix:DR
First Name:ADITYA
Middle Name:
Last Name:CHHIBBER
Suffix:
Gender:M
Credentials:BDS, MDS, M DENT SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 BENEDICT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-2340
Mailing Address - Country:US
Mailing Address - Phone:419-668-1686
Mailing Address - Fax:
Practice Address - Street 1:137 BENEDICT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-2340
Practice Address - Country:US
Practice Address - Phone:419-668-1686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-11
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0246831223X0400X
VA04014141261223X0400X
NY0000451223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30.024683OtherDENTAL LICENSE