Provider Demographics
NPI:1912677303
Name:CHAWDHRY, ARJUN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARJUN
Middle Name:
Last Name:CHAWDHRY
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 1:4311 SPRUCE ST APT A2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4768
Mailing Address - Country:US
Mailing Address - Phone:857-250-6940
Mailing Address - Fax:
Practice Address - Street 1:22 ALPINE LN
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2774
Practice Address - Country:US
Practice Address - Phone:857-250-6940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04693122300000X
MADN18593401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist