Provider Demographics
NPI:1508174178
Name:NAYEE, MAYUR C (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAYUR
Middle Name:C
Last Name:NAYEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 GEORGETOWN SQ STE 1007
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6222
Mailing Address - Country:US
Mailing Address - Phone:770-452-7358
Mailing Address - Fax:770-458-3600
Practice Address - Street 1:3595 GRANDVIEW PKWY STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-1982
Practice Address - Country:US
Practice Address - Phone:659-207-2257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014095122300000X
ALD7121-C1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist