Provider Demographics
NPI:1427218320
Name:JOHN J PARIS, DDS, P.C.
Entity Type:Organization
Organization Name:JOHN J PARIS, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-263-7680
Mailing Address - Street 1:301 EXCHANGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-2755
Mailing Address - Country:US
Mailing Address - Phone:585-263-7680
Mailing Address - Fax:585-263-2894
Practice Address - Street 1:301 EXCHANGE BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-2755
Practice Address - Country:US
Practice Address - Phone:585-263-7680
Practice Address - Fax:585-263-2894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01172430Medicaid