Provider Demographics
NPI:1306008271
Name:ROY, PARAMITA (DDS)
Entity Type:Individual
Prefix:
First Name:PARAMITA
Middle Name:
Last Name:ROY
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 1:804 BLUE THORN DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-9106
Mailing Address - Country:US
Mailing Address - Phone:201-696-7859
Mailing Address - Fax:
Practice Address - Street 1:804 BLUE THORN DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-9106
Practice Address - Country:US
Practice Address - Phone:201-696-7859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59866122300000X
NY054886122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC86624UMedicare UPIN