Provider Demographics
NPI:1215005517
Name:PARISI ORTHODONTICS
Entity Type:Organization
Organization Name:PARISI ORTHODONTICS
Other - Org Name:BERNICE M PARISI DMD
Other - Org Type:Other Name
Authorized Official - Title/Position:ORTHODONTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-286-1606
Mailing Address - Street 1:201 DARBY SQUARE
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-9300
Mailing Address - Country:US
Mailing Address - Phone:610-286-1606
Mailing Address - Fax:610-286-1609
Practice Address - Street 1:201 DARBY SQUARE
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9300
Practice Address - Country:US
Practice Address - Phone:610-286-1606
Practice Address - Fax:610-286-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026680L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty