Provider Demographics
NPI:1396401758
Name:SUE A REID PARISI DDS PC
Entity Type:Organization
Organization Name:SUE A REID PARISI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:REID- PARISI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-646-7832
Mailing Address - Street 1:6405 TELEGRAPH RD STE J2
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1775
Mailing Address - Country:US
Mailing Address - Phone:248-646-7832
Mailing Address - Fax:248-712-4897
Practice Address - Street 1:6405 TELEGRAPH RD STE J2
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-1775
Practice Address - Country:US
Practice Address - Phone:248-646-7832
Practice Address - Fax:248-712-4897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental