Provider Demographics
NPI:1275332645
Name:REMYA NIRANJAN, A DENTAL CORPORATION
Entity type:Organization
Organization Name:REMYA NIRANJAN, A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-439-3661
Mailing Address - Street 1:1810 N OLIVE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2500
Mailing Address - Country:US
Mailing Address - Phone:209-632-8200
Mailing Address - Fax:209-632-6416
Practice Address - Street 1:1810 N OLIVE AVE STE 2
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2500
Practice Address - Country:US
Practice Address - Phone:209-632-8200
Practice Address - Fax:209-632-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty