Provider Demographics
NPI:1649561051
Name:CHAND, PRIYA (BDS MSD)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:
Last Name:CHAND
Suffix:
Gender:F
Credentials:BDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5058 DORSEY HALL DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7849
Mailing Address - Country:US
Mailing Address - Phone:410-304-7226
Mailing Address - Fax:
Practice Address - Street 1:5058 DORSEY HALL DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7849
Practice Address - Country:US
Practice Address - Phone:410-304-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD786571223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics