Healthcare Provider Details

I. General information

NPI: 1053276675
Provider Name (Legal Business Name): UNJIYA DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10030 EDISON SQUARE DR NW STE 200
CONCORD NC
28027-8309
US

IV. Provider business mailing address

6010 SWANSTON DR
CHARLOTTE NC
28269-9145
US

V. Phone/Fax

Practice location:
  • Phone: 704-766-1488
  • Fax: 704-766-1496
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ABHAYKUMAR UNJIYA
Title or Position: MEMBER
Credential: DDS
Phone: 312-626-5872