MEDICARE: DR. NANDITA CHANDRAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401420004	VA

General Provider Information

NPI Number	:	1982537494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANDITA CHANDRAN DMD

Provider Business Mailing Address
First Line	:	9955 CAMERON PARC CIR
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30022-6454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9955 CAMERON PARC CIR
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30022-6454
Country	:	US
Telephone Number	:	404-272-9404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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