MEDICARE: DR. PRIYANG CHAUDHARI D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11210	CT

General Provider Information

NPI Number	:	1346656154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYANG CHAUDHARI D.D.S.

Provider Business Mailing Address
First Line	:	12 PITMAN RD
Second Line	:
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-3632
Country	:	US
Telephone Number	:	201-888-4052
Fax Number	:

Provider Business Practice Location Address
First Line	:	1192 FARMINGTON AVE
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-4752
Country	:	US
Telephone Number	:	860-585-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2014
Last Update Date	:	07/01/2014

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