# DR. JAYA SARIN PRADHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467600361
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 055578 | NY | Yes |
| 125Q00000X | Oral Medicine Dentistry | 055578 | NY | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | D-10260 | MA | — |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 11/20/2025