Provider Demographics
NPI:1821512807
Name:NAYAK, DHAIRYA (DMD)
Entity type:Individual
Prefix:DR
First Name:DHAIRYA
Middle Name:
Last Name:NAYAK
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 1:7 TREE FARM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1461
Mailing Address - Country:US
Mailing Address - Phone:609-818-9797
Mailing Address - Fax:
Practice Address - Street 1:7 TREE FARM RD STE 200
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1461
Practice Address - Country:US
Practice Address - Phone:609-818-9797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02745700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist