Provider Demographics
NPI:1609675081
Name:REMYA NIRANJAN DDS, MS, INC
Entity type:Organization
Organization Name:REMYA NIRANJAN DDS, MS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIRANJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-439-3661
Mailing Address - Street 1:1729 N OLIVE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2501
Mailing Address - Country:US
Mailing Address - Phone:209-632-8400
Mailing Address - Fax:209-632-8410
Practice Address - Street 1:1729 N OLIVE AVE STE 1
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2501
Practice Address - Country:US
Practice Address - Phone:209-632-8400
Practice Address - Fax:209-632-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty