Provider Demographics
NPI:1467645853
Name:PARRISH, JAIME ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ANNE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:ANNE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3433 E 181ST ST N
Mailing Address - Street 2:
Mailing Address - City:SKIATOOK
Mailing Address - State:OK
Mailing Address - Zip Code:74070-4375
Mailing Address - Country:US
Mailing Address - Phone:402-650-3133
Mailing Address - Fax:
Practice Address - Street 1:3433 E 181ST ST N
Practice Address - Street 2:
Practice Address - City:SKIATOOK
Practice Address - State:OK
Practice Address - Zip Code:74070-4375
Practice Address - Country:US
Practice Address - Phone:402-650-3133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6718122300000X, 1223P0300X
OK65681223G0001X
OK731223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice