Dutta, Chiranjib

Dutta, Chiranjib is an individual health care provider with primary practice located at 36 61 Main Street , Flushing NY 11354. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dutta, Chiranjib can be contacted via phone (718) 539-8762.

Contact Information

Primary practice address
36 61 Main Street Flushing NY 11354
Fax: (718) 539-4186
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 044117 New York

Profile Details

NPI number 1205982196
LBN Legal business name Dutta, Chiranjib
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

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 1205982196 NPPES
New York MEDICAID 01418428

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