Provider Demographics
NPI:1164742904
Name:PARENTE, PEDRO (PHARMD, DMD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:
Last Name:PARENTE
Suffix:
Gender:M
Credentials:PHARMD, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6232
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-6232
Mailing Address - Country:US
Mailing Address - Phone:908-294-0174
Mailing Address - Fax:
Practice Address - Street 1:1199 COLONIAL RD STE 2
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1900
Practice Address - Country:US
Practice Address - Phone:908-294-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03075300183500000X
NJ22DI02496300122300000X
PADS040183122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No183500000XPharmacy Service ProvidersPharmacist