Provider Demographics
NPI:1801030705
Name:THAPAR-DUA, NAMITA KUMARI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAMITA
Middle Name:KUMARI
Last Name:THAPAR-DUA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NAMITA
Other - Middle Name:THAPAR
Other - Last Name:CHAUDHARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:20528 BOLAND FARM ROAD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876
Mailing Address - Country:US
Mailing Address - Phone:301-875-7477
Mailing Address - Fax:301-637-3222
Practice Address - Street 1:20528 BOLAND FARM RD STE 215
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-4038
Practice Address - Country:US
Practice Address - Phone:301-875-7477
Practice Address - Fax:301-637-3222
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12515122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist