Provider Demographics
NPI:1992497978
Name:PARACHA, AYMAN NAYAB (DDS)
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:NAYAB
Last Name:PARACHA
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 1:14416 ROSEBAY PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-1806
Mailing Address - Country:US
Mailing Address - Phone:405-630-0320
Mailing Address - Fax:
Practice Address - Street 1:13400 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9007
Practice Address - Country:US
Practice Address - Phone:405-418-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7719122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist