Provider Demographics
NPI:1851896484
Name:CHOWDHARY, SHIVANI (DDS BDS)
Entity Type:Individual
Prefix:DR
First Name:SHIVANI
Middle Name:
Last Name:CHOWDHARY
Suffix:
Gender:F
Credentials:DDS BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14601 SW 29TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4714
Mailing Address - Country:US
Mailing Address - Phone:504-427-2326
Mailing Address - Fax:
Practice Address - Street 1:14601 SW 29TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4714
Practice Address - Country:US
Practice Address - Phone:754-500-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN263711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice