Provider Demographics
NPI:1033093372
Name:CHAUDHRY, FATIMA (BDS,DPH)
Entity type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:
Last Name:CHAUDHRY
Suffix:
Gender:F
Credentials:BDS,DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 RENAISSANCE LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75060-4270
Mailing Address - Country:US
Mailing Address - Phone:469-478-0203
Mailing Address - Fax:
Practice Address - Street 1:2947 S BUCKNER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-6953
Practice Address - Country:US
Practice Address - Phone:214-381-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX418421223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health