Provider Demographics
NPI:1205405628
Name:CHAUDHRY, RAMEEN (DMD)
Entity type:Individual
Prefix:DR
First Name:RAMEEN
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7234 GASTON AVE UNIT 121
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-4124
Mailing Address - Country:US
Mailing Address - Phone:732-910-3544
Mailing Address - Fax:
Practice Address - Street 1:7234 GASTON AVE UNIT 121
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4124
Practice Address - Country:US
Practice Address - Phone:214-348-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418108122300000X
NJ22DR036151223G0001X
TX403291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist