Provider Demographics
NPI:1053671107
Name:JOSEPH R. PARLANTE DDS
Entity Type:Organization
Organization Name:JOSEPH R. PARLANTE DDS
Other - Org Name:ADAMS DENTAL CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PARLANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-339-6613
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:149 S. MAIN ST.
Mailing Address - City:ADAMS
Mailing Address - State:WI
Mailing Address - Zip Code:53910-0159
Mailing Address - Country:US
Mailing Address - Phone:608-339-6613
Mailing Address - Fax:608-339-3936
Practice Address - Street 1:149 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:WI
Practice Address - Zip Code:53910-0159
Practice Address - Country:US
Practice Address - Phone:608-339-6613
Practice Address - Fax:608-339-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3813-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty