Provider Demographics
NPI:1669547782
Name:CHAUDHRY, FAYSAL Y (DDS)
Entity type:Individual
Prefix:DR
First Name:FAYSAL
Middle Name:Y
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11450 STILL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8625
Mailing Address - Country:US
Mailing Address - Phone:860-335-5966
Mailing Address - Fax:
Practice Address - Street 1:7410 PRESTON RD
Practice Address - Street 2:SUITE 121
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5681
Practice Address - Country:US
Practice Address - Phone:860-335-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice