Provider Demographics
NPI:1366454563
Name:PARBHOO, DHARMESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DHARMESH
Middle Name:
Last Name:PARBHOO
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 1:49 HOSIERY MILL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-1687
Mailing Address - Country:US
Mailing Address - Phone:770-445-1314
Mailing Address - Fax:770-445-1319
Practice Address - Street 1:49 HOSIERY MILL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-1687
Practice Address - Country:US
Practice Address - Phone:770-445-1314
Practice Address - Fax:770-445-1319
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA0112581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice