Provider Demographics
NPI:1346566759
Name:PARELLI, JAMES (DMD, MD, MSED)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:PARELLI
Suffix:
Gender:M
Credentials:DMD, MD, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12450 CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-8353
Mailing Address - Country:US
Mailing Address - Phone:732-547-9101
Mailing Address - Fax:
Practice Address - Street 1:102 WAXHAW PROFESSIONAL PARK DR STE G
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-5025
Practice Address - Country:US
Practice Address - Phone:704-289-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016001461223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery