Provider Demographics
NPI:1245123777
Name:PANCHAL, CHIRAG RAMESH (DMD)
Entity type:Individual
Prefix:
First Name:CHIRAG
Middle Name:RAMESH
Last Name:PANCHAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7278 SW 90TH LOOP UNIT 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-5828
Mailing Address - Country:US
Mailing Address - Phone:727-454-9779
Mailing Address - Fax:
Practice Address - Street 1:3101 SW 34TH AVE STE 600
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8476
Practice Address - Country:US
Practice Address - Phone:352-861-2510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist