CHIRANJIB DUTTA DDS
NPI 1205982196
Dentist - Pediatric Dentistry in Flushing, NY

Active since January 25, 2007
36 61 MAIN STREET, FLUSHING, NY 11354(718) 539-8762(718) 539-4186 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chiranjib Dutta Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIRANJIB DUTTA DDS (NPI 1205982196) is an individual pediatric dentistry provider in Flushing, New York, licensed in New York (044117) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205982196
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCHIRANJIB DUTTACredential: DDS
Location Address36 61 MAIN STREETFlushing, NY 11354
Mailing Address36 61 Main StreetFlushing, NY 11354 · (718) 539-8762 · Fax (718) 539-4186
Fax(718) 539-4186
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205982196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 044117
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

36 61 MAIN STREET, Flushing, NY 11354

Other Identifiers 1

Medicaid01418428NY

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205982196, enumerated as an "individual" on January 25, 2007.

The provider is located at 36 61 MAIN STREET FLUSHING, NY 11354 and the phone number is (718) 539-8762.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.