Healthcare Provider Details

I. General information

NPI: 1760850176
Provider Name (Legal Business Name): REEFAT MALHOTRA D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGE RD STE 36
CHADDS FORD PA
19317-9784
US

IV. Provider business mailing address

100 RIDGE RD STE 36
CHADDS FORD PA
19317-9784
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-1760
  • Fax:
Mailing address:
  • Phone: 610-558-1760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS043341
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: