Provider Demographics
NPI:1093914426
Name:B K PARASHER DDS PA
Entity Type:Organization
Organization Name:B K PARASHER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-968-7228
Mailing Address - Street 1:11017 N DALE MABRY HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-3873
Mailing Address - Country:US
Mailing Address - Phone:813-968-7228
Mailing Address - Fax:813-960-3009
Practice Address - Street 1:11017 N DALE MABRY HWY
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3873
Practice Address - Country:US
Practice Address - Phone:813-968-7228
Practice Address - Fax:813-960-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty