Provider Demographics
NPI:1689980013
Name:CHAUDHRY, HINNA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:HINNA
Middle Name:A
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7423
Mailing Address - Country:US
Mailing Address - Phone:732-614-2331
Mailing Address - Fax:
Practice Address - Street 1:124 BROAD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2702
Practice Address - Country:US
Practice Address - Phone:203-324-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02445900122300000X
NJ25DI02445900122300000X
CT010876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist