Healthcare Provider Details

I. General information

NPI: 1396062212
Provider Name (Legal Business Name): CHETAN SAWHNEY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ACORN LN
PLAINVIEW NY
11803-1901
US

IV. Provider business mailing address

5 ACORN LN
PLAINVIEW NY
11803-1901
US

V. Phone/Fax

Practice location:
  • Phone: 516-729-7205
  • Fax: 516-938-0360
Mailing address:
  • Phone: 516-729-7205
  • Fax: 516-938-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number046655-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: