Provider Demographics
NPI:1134365265
Name:ELRAYAH, NAZIK H (DDS)
Entity type:Individual
Prefix:DR
First Name:NAZIK
Middle Name:H
Last Name:ELRAYAH
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 1:13120 BLISS LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4071
Mailing Address - Country:US
Mailing Address - Phone:614-477-4460
Mailing Address - Fax:
Practice Address - Street 1:6302 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2377
Practice Address - Country:US
Practice Address - Phone:941-792-2965
Practice Address - Fax:941-251-8158
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN26541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist