Provider Demographics
NPI:1487148813
Name:CHHABRA, RITISH (DDS)
Entity type:Individual
Prefix:DR
First Name:RITISH
Middle Name:
Last Name:CHHABRA
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 1:8191 PINE HOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7465
Mailing Address - Country:US
Mailing Address - Phone:810-742-7802
Mailing Address - Fax:
Practice Address - Street 1:2816 POINTE TREMBLE RD
Practice Address - Street 2:
Practice Address - City:ALGONAC
Practice Address - State:MI
Practice Address - Zip Code:48001-4632
Practice Address - Country:US
Practice Address - Phone:810-655-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901022712122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist