Provider Demographics
NPI:1245607415
Name:DURAL L. PARISH DDS PC
Entity Type:Organization
Organization Name:DURAL L. PARISH DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DURAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-425-6565
Mailing Address - Street 1:10835 DOVER ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-5562
Mailing Address - Country:US
Mailing Address - Phone:303-425-6565
Mailing Address - Fax:303-420-5660
Practice Address - Street 1:10835 DOVER ST STE 1200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5562
Practice Address - Country:US
Practice Address - Phone:303-425-6565
Practice Address - Fax:303-420-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5180122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty