Provider Demographics
NPI:1023812765
Name:CHAVIS, DANNIA ELISSA (RDH)
Entity type:Individual
Prefix:
First Name:DANNIA
Middle Name:ELISSA
Last Name:CHAVIS
Suffix:
Gender:X
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8105 SANDPIPER CIR APT 515
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5068
Mailing Address - Country:US
Mailing Address - Phone:407-530-8977
Mailing Address - Fax:
Practice Address - Street 1:7122 HARFORD RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7741
Practice Address - Country:US
Practice Address - Phone:140-444-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD8782124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist