Provider Demographics
NPI:1245580745
Name:DAHIYA, ARTI (DMD)
Entity Type:Individual
Prefix:
First Name:ARTI
Middle Name:
Last Name:DAHIYA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 FERRELL RD W
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-5816
Mailing Address - Country:US
Mailing Address - Phone:615-424-1462
Mailing Address - Fax:
Practice Address - Street 1:351 WELLESLEY TRADE LN STE 212
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-5602
Practice Address - Country:US
Practice Address - Phone:919-617-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC109481223P0221X
MADN18561231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110093676AMedicaid