Provider Demographics
NPI:1255061693
Name:CHHOKAR, GURREET (DDS)
Entity type:Individual
Prefix:DR
First Name:GURREET
Middle Name:
Last Name:CHHOKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:CHHOKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:404 BRIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-4620
Mailing Address - Country:US
Mailing Address - Phone:219-218-9359
Mailing Address - Fax:
Practice Address - Street 1:2113 E STATE RD 163
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IN
Practice Address - Zip Code:47842
Practice Address - Country:US
Practice Address - Phone:765-832-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013787A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice