Provider Demographics
NPI:1326617986
Name:PARIKH, KUSHAL A (DMD)
Entity Type:Individual
Prefix:DR
First Name:KUSHAL
Middle Name:A
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-2229
Mailing Address - Country:US
Mailing Address - Phone:201-290-6725
Mailing Address - Fax:
Practice Address - Street 1:SMILE CULTURE DENTAL, 537 E STREET RD.
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE-TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053
Practice Address - Country:US
Practice Address - Phone:267-361-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0431141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice