Provider Demographics
NPI:1073403176
Name:ARYA, SANJAY (DDS)
Entity type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:
Last Name:ARYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RISA WAY APT 190
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-5018
Mailing Address - Country:US
Mailing Address - Phone:503-734-7990
Mailing Address - Fax:
Practice Address - Street 1:241 W EAST AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-7205
Practice Address - Country:US
Practice Address - Phone:530-332-8972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS111780122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist