Provider Demographics
NPI:1932891520
Name:IYENGAR, SAMEER ARUN (DDS)
Entity type:Individual
Prefix:
First Name:SAMEER
Middle Name:ARUN
Last Name:IYENGAR
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 1:20580 ARBELECHE LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-5464
Mailing Address - Country:US
Mailing Address - Phone:408-207-8628
Mailing Address - Fax:
Practice Address - Street 1:3635 N FREEWAY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2926
Practice Address - Country:US
Practice Address - Phone:408-207-8628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA112062122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program