Dr. Sridhar Krishna Chinta, D.D.S
Dentist, General Practice in Suwanee, GA. Individual provider (NPI-1).
NPI number1134534266
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1134534266
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sridhar Krishna Chinta
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2014
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN015980 | GA | Yes |
| 1223G0001X | Dentist, General Practice | 30188 | TX |
Practice location
3429 Lawrenceville Suwanee Rd Ste E-FSuwanee, GA 30024-2433
Phone 678-765-9133
Mailing address
5890 Thoroughbred WaySuwanee, GA 30024-2144
Phone 817-718-8397
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