Provider Demographics
NPI:1437686565
Name:PARIKH, RONAK SHRIKANT (DMD)
Entity Type:Individual
Prefix:
First Name:RONAK
Middle Name:SHRIKANT
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28868 FL 54
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-9539
Mailing Address - Country:US
Mailing Address - Phone:813-377-1822
Mailing Address - Fax:813-377-1193
Practice Address - Street 1:28868 FL 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543
Practice Address - Country:US
Practice Address - Phone:813-377-1822
Practice Address - Fax:813-377-1193
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN225301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice