Chandna, Shruti

Chandna, Shruti is an sole proprietor health care provider with primary practice located at 5412 Montgomery Hwy Ste 8 , Dothan AL 36303-1657. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is her primary health care specialty. Chandna, Shruti can be contacted via phone (334) 983-1730.

Contact Information

Primary practice address
5412 Montgomery Hwy Ste 8 Dothan AL 36303-1657
Phone: (334) 983-1730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2951000806 Michigan
Dental Providers / Pediatric Dentistry 1223P0221X D.007245-C1 Alabama
Dental Providers / Dentist 122300000X 1341 Oklahoma

Profile Details

NPI number 1417413139
LBN Legal business name Chandna, Shruti
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2019
Last updated Mar 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417413139 NPPES
Michigan Other 2951000806 BOARD OF DENTISTRY DENTAL EDUCATION LIMITED LICENSE

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