Provider Demographics
NPI:1497805519
Name:AYNECHI, NOYAN (DDS)
Entity Type:Individual
Prefix:
First Name:NOYAN
Middle Name:
Last Name:AYNECHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MAIN ST UNIT 3C
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-5033
Mailing Address - Country:US
Mailing Address - Phone:415-658-7197
Mailing Address - Fax:
Practice Address - Street 1:4145 BLACKHAWK PLAZA CIR
Practice Address - Street 2:STUIT 203
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506-4697
Practice Address - Country:US
Practice Address - Phone:925-837-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND11841122300000X
TX00235901223P0221X
CA580181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist