Provider Demographics
NPI:1801159918
Name:CHOWDHARY, DEVANSHU (DDS)
Entity type:Individual
Prefix:
First Name:DEVANSHU
Middle Name:
Last Name:CHOWDHARY
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 1:16072 SPRING MILL STATION DR STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-7850
Mailing Address - Country:US
Mailing Address - Phone:317-798-0999
Mailing Address - Fax:317-688-9491
Practice Address - Street 1:16072 SPRING MILL STATION DR STE 101
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-7850
Practice Address - Country:US
Practice Address - Phone:317-798-0999
Practice Address - Fax:317-688-9491
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011812A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1801159918OtherDENTAL