Provider Demographics
NPI:1952193898
Name:MANISHA DHANANJAYA DDS LLC
Entity type:Organization
Organization Name:MANISHA DHANANJAYA DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHANANJAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:484-999-1169
Mailing Address - Street 1:2933 EXCELSIOR SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7622
Mailing Address - Country:US
Mailing Address - Phone:484-999-1169
Mailing Address - Fax:
Practice Address - Street 1:8895 CENTRE PARK DR STE D
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-1966
Practice Address - Country:US
Practice Address - Phone:410-997-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty