Provider Demographics
NPI:1497835789
Name:PARSI, FARZAD THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:THOMAS
Last Name:PARSI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:F.
Other - Middle Name:THOMAS
Other - Last Name:PARSI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:251 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-5629
Mailing Address - Country:US
Mailing Address - Phone:781-396-6900
Mailing Address - Fax:
Practice Address - Street 1:251 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-5629
Practice Address - Country:US
Practice Address - Phone:781-396-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31811223G0001X
MADN210061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice