Provider Demographics
NPI:1346202546
Name:PARRISH, NATHAN CHRISTIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:CHRISTIAN
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 1:2776 RINGGOLD RD
Mailing Address - Street 2:HQS, USA DENTAC
Mailing Address - City:FT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-6300
Mailing Address - Country:US
Mailing Address - Phone:580-442-3905
Mailing Address - Fax:580-442-4002
Practice Address - Street 1:2776 RINGGOLD RD
Practice Address - Street 2:HQ, USA DENTAC
Practice Address - City:FT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-6300
Practice Address - Country:US
Practice Address - Phone:580-442-3905
Practice Address - Fax:580-442-4002
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK57221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice