Individual
ASHISH NAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
392 GARRISONVILLE RD STE 205, STAFFORD, VA 22554-1576
(540) 659-6816
Mailing address
392 GARRISONVILLE RD STE 205, STAFFORD, VA 22554-1576
(540) 659-6816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019031465
IL
1223G0001X
General Practice Dentistry
Primary
0401418142
VA
1223G0001X
General Practice Dentistry
12012753A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854022
—
IL
Enumeration date
06/09/2017
Last updated
10/07/2022
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