Healthcare Provider Details

I. General information

NPI: 1487148813
Provider Name (Legal Business Name): RITISH CHHABRA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 POINTE TREMBLE RD
ALGONAC MI
48001-4632
US

IV. Provider business mailing address

18263 PLAYER DR
MACOMB MI
48042-1764
US

V. Phone/Fax

Practice location:
  • Phone: 810-655-9777
  • Fax:
Mailing address:
  • Phone: 810-742-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901022712
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: