Healthcare Provider Details

I. General information

NPI: 1689315889
Provider Name (Legal Business Name): PRACHI CHADHA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13745 CONNECTICUT AVE
SILVER SPRING MD
20906-2916
US

IV. Provider business mailing address

11550 OLD GEORGETOWN RD APT 1616
NORTH BETHESDA MD
20852-2882
US

V. Phone/Fax

Practice location:
  • Phone: 240-762-4773
  • Fax:
Mailing address:
  • Phone: 240-449-5557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18157
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: