Provider Demographics
NPI:1356412647
Name:CHINTA, SUDHA SESHA (DDS)
Entity type:Individual
Prefix:DR
First Name:SUDHA
Middle Name:SESHA
Last Name:CHINTA
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:103 SYCAMORE VALLEY RD W
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3957
Mailing Address - Country:US
Mailing Address - Phone:925-362-1800
Mailing Address - Fax:925-855-1160
Practice Address - Street 1:12111 ALCOSTA BLVD
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2637
Practice Address - Country:US
Practice Address - Phone:925-829-3111
Practice Address - Fax:925-560-0134
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2020-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA437691223E0200X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223E0200XDental ProvidersDentistEndodontics