Provider Demographics
NPI:1114260239
Name:ARYA, VARUN (BDS, DMD)
Entity Type:Individual
Prefix:DR
First Name:VARUN
Middle Name:
Last Name:ARYA
Suffix:
Gender:M
Credentials:BDS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5103
Mailing Address - Country:US
Mailing Address - Phone:717-763-1970
Mailing Address - Fax:717-975-2891
Practice Address - Street 1:207 S 32ND ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5103
Practice Address - Country:US
Practice Address - Phone:717-763-1970
Practice Address - Fax:717-975-2891
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MADL122311223S0112X
PADS041422204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty