# CHILTON DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134266760
- **Authorized official:** DR. PARDEEP K SIDHU DDS (PRESIDENT)
- **Authorized official phone:** (908) 352-4438

## Contact information

- **Practice address:** 465 NORTH AVE, ELIZABETH, NJ 07208-1737
- **Practice address phone:** (908) 352-4438
- **Practice address fax:** (908) 352-4525
- **Mailing address:** 465 NORTH AVE, ELIZABETH, NJ 07208-1737
- **Mailing address phone:** (908) 352-4438
- **Mailing address fax:** (908) 352-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI22241 | NJ | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020
