Provider Demographics
NPI:1316788300
Name:UYANIKER, IREM (DMD)
Entity type:Individual
Prefix:DR
First Name:IREM
Middle Name:
Last Name:UYANIKER
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 1:205 TIDAL LN APT 305
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-4446
Mailing Address - Country:US
Mailing Address - Phone:516-395-3756
Mailing Address - Fax:
Practice Address - Street 1:81 COGGESHALL ST STE B
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-5448
Practice Address - Country:US
Practice Address - Phone:774-206-6388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN100000981223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program