Organization · Type 2 NPI
Dr. Jayaraman PLLC
Pediatric Dentistry · Glen Allen, VA
NPI number
1043061336
Active
Practice location
11551 Nuckols Rd Ste H
Glen Allen, VA 23059-5565
Fax (804) 495-8751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Glen Allen
About NPI 1043061336
Dr. Jayaraman PLLC's National Provider Identifier is 1043061336, issued on Mar 27, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Glen Allen, VA. The record was last updated on Jun 6, 2026.