Provider Demographics
NPI:1447010822
Name:CHAWLA, BHAVNEET KAUR (DDS)
Entity type:Individual
Prefix:
First Name:BHAVNEET
Middle Name:KAUR
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S MAIN RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-7897
Mailing Address - Country:US
Mailing Address - Phone:856-691-0290
Mailing Address - Fax:
Practice Address - Street 1:301 S MAIN RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7897
Practice Address - Country:US
Practice Address - Phone:856-691-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI030388001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice