Provider Demographics
NPI:1942980271
Name:GARG, ANCHIT (DDS)
Entity type:Individual
Prefix:
First Name:ANCHIT
Middle Name:
Last Name:GARG
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 1:1200 EAST BROAD STREET
Mailing Address - Street 2:BOX 980257
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-828-0602
Mailing Address - Fax:804-593-4279
Practice Address - Street 1:401 N 11TH STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219
Practice Address - Country:US
Practice Address - Phone:804-828-0602
Practice Address - Fax:804-593-4279
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2025-09-10
Deactivation Date:2024-05-30
Deactivation Code:
Reactivation Date:2025-08-22
Provider Licenses
StateLicense IDTaxonomies
VA0442000551390200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program