Provider Demographics
NPI:1508520925
Name:NAYYAR, SANIKA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SANIKA
Middle Name:
Last Name:NAYYAR
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 1:1265 BEACON ST APT 603
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5288
Mailing Address - Country:US
Mailing Address - Phone:650-285-7891
Mailing Address - Fax:
Practice Address - Street 1:1265 BEACON ST APT 603
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5288
Practice Address - Country:US
Practice Address - Phone:650-285-7891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18592381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice