# PRATIMA CHANDLER DDS PLLC

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

## Provider details

- **NPI number:** 1588359764
- **Authorized official:** PRATIMA SHARMA CHANDLER DDS (MEMBER)
- **Authorized official phone:** (484) 751-8483

## Contact information

- **Practice address:** 37 MADDEX DR, SHEPHERDSTOWN, WV 25443-4322
- **Practice address phone:** (484) 751-4843
- **Mailing address:** 124 IVY HILLS TER, PURCELLVILLE, VA 20132-6144
- **Mailing address phone:** (484) 751-8483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2023
- **Last updated:** 04/05/2023