Provider Demographics
NPI:1184833014
Name:PARMENTER, THOMAS A (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:PARMENTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 W CLARK RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1103
Mailing Address - Country:US
Mailing Address - Phone:734-434-6020
Mailing Address - Fax:734-434-6151
Practice Address - Street 1:3075 W CLARK RD
Practice Address - Street 2:SUITE 209
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1103
Practice Address - Country:US
Practice Address - Phone:734-434-6020
Practice Address - Fax:734-434-6151
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice