Provider Demographics
NPI:1588281208
Name:UNJIYA, ABHAYKUMAR (DDS)
Entity type:Individual
Prefix:
First Name:ABHAYKUMAR
Middle Name:
Last Name:UNJIYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 S MILLER RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4110
Mailing Address - Country:US
Mailing Address - Phone:312-626-5872
Mailing Address - Fax:
Practice Address - Street 1:1624 TATE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4244
Practice Address - Country:US
Practice Address - Phone:828-267-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC119011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice