Provider Demographics
NPI:1225124423
Name:PARRISH, ANTHONY EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EARL
Last Name:PARRISH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3653 FLAKES MILL RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5255
Mailing Address - Country:US
Mailing Address - Phone:770-981-3006
Mailing Address - Fax:
Practice Address - Street 1:3653 FLAKES MILL RD
Practice Address - Street 2:SUITE E
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-5255
Practice Address - Country:US
Practice Address - Phone:770-981-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA111251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice