Healthcare Provider Details

I. General information

NPI: 1578750279
Provider Name (Legal Business Name): RUCHITA SACHAR D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 E BASELINE RD
PHOENIX AZ
85042-6554
US

IV. Provider business mailing address

6234 N 47TH ST
PARADISE VALLEY AZ
85253-4040
US

V. Phone/Fax

Practice location:
  • Phone: 602-276-2004
  • Fax:
Mailing address:
  • Phone: 516-476-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD008912
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number051206-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.023661
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN014631
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: