# DEEPTI CHITTAL DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134764814
- **Authorized official:** DR. DEEPTI JAGGARI DMD (MANAGING MEMEBER)
- **Authorized official phone:** (409) 433-6462

## Contact information

- **Practice address:** 3020 39TH ST, PORT ARTHUR, TX 77642-5548
- **Practice address phone:** (409) 982-7827
- **Mailing address:** 3020 39TH ST, PORT ARTHUR, TX 77642-5548
- **Mailing address phone:** (409) 982-7827
- **Mailing address fax:** (409) 982-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2019
- **Last updated:** 11/14/2025
