Individual
DR. INDRANEEL BHATTACHARYYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6775
(352) 392-2507
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-6775
(352) 392-2507
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DTP385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076003000
—
FL
Enumeration date
04/24/2006
Last updated
03/07/2023
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