Provider Demographics
NPI:1679690408
Name:SOPHIA CHADDA DDS,LLC
Entity Type:Organization
Organization Name:SOPHIA CHADDA DDS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:908-626-0333
Mailing Address - Street 1:41 STONEHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-4600
Mailing Address - Country:US
Mailing Address - Phone:908-626-0333
Mailing Address - Fax:908-626-0323
Practice Address - Street 1:41 STONEHOUSE RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-4600
Practice Address - Country:US
Practice Address - Phone:908-626-0333
Practice Address - Fax:908-626-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI020282001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty