Provider Demographics
NPI:1821971490
Name:ANUSHA CHINTALA DMD PLLC
Entity type:Organization
Organization Name:ANUSHA CHINTALA DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINTALA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-841-7358
Mailing Address - Street 1:10815 SIKES PL STE 310
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9601
Mailing Address - Country:US
Mailing Address - Phone:704-841-7358
Mailing Address - Fax:
Practice Address - Street 1:10815 SIKES PL STE 310
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-9601
Practice Address - Country:US
Practice Address - Phone:704-841-7358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental