Provider Demographics
NPI:1992279863
Name:AREIAS, ASHLEIGH (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:
Last Name:AREIAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1653
Mailing Address - Country:US
Mailing Address - Phone:209-704-7048
Mailing Address - Fax:
Practice Address - Street 1:2522 DANA ST STE 101
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2803
Practice Address - Country:US
Practice Address - Phone:510-486-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1026111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA102611OtherDENTAL BOARD OF CALIFORNIA
FA7973882OtherDEA