Provider Demographics
NPI:1013756105
Name:BHATTHAL, AKASHDEEP SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:AKASHDEEP
Middle Name:SINGH
Last Name:BHATTHAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12517 ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-5305
Mailing Address - Country:US
Mailing Address - Phone:804-748-2555
Mailing Address - Fax:
Practice Address - Street 1:12517 ROUTE 1
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-5305
Practice Address - Country:US
Practice Address - Phone:804-748-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA04014193661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program