Healthcare Provider Details

I. General information

NPI: 1750116760
Provider Name (Legal Business Name): SHIVANI CHOWDHARY DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15084 LYONS RD STE 600
DELRAY BEACH FL
33446-9792
US

IV. Provider business mailing address

15084 LYONS RD STE 600
DELRAY BEACH FL
33446-9792
US

V. Phone/Fax

Practice location:
  • Phone: 561-666-9040
  • Fax:
Mailing address:
  • Phone: 561-666-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHIVANI SINGH
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 561-666-9040