MEDICARE: AARYA DENTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1346083581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARYA DENTAL

Provider Business Mailing Address
First Line	:	1498 EDDINGTON PL
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3725
Country	:	US
Telephone Number	:	408-768-0961
Fax Number	:

Provider Business Practice Location Address
First Line	:	1273 S MARY AVE
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-2203
Country	:	US
Telephone Number	:	408-768-0961
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	PAYAL SHAH
Credential	:	DDS
Telephone Number	:	408-768-0961

Provider Enumeration Date	:	06/15/2024
Last Update Date	:	06/15/2024

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Directions to “AARYA DENTAL ” Practice Location

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