Provider Demographics
NPI:1861762551
Name:FAYSAL Y. CHAUDHRY DDS, PC
Entity type:Organization
Organization Name:FAYSAL Y. CHAUDHRY DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAYSAL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-335-5966
Mailing Address - Street 1:11450 STILL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7410 PRESTON RD
Practice Address - Street 2:SUITE 121
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5681
Practice Address - Country:US
Practice Address - Phone:860-335-5966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty