# MAYANK SHRIVASTAVA

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

## Provider details

- **NPI number:** 1871010165
- **Gender:** Man
- **Credential:** BDS, MDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14049 | NC | — |
| 1223X2210X | Orofacial Pain Dentistry | 14049 | NC | Yes |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 06/18/2025