Provider Demographics
NPI:1518048032
Name:PARRISH, SUSANNE L (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:L
Last Name:PARRISH
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:8401 CHAGRIN ROAD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BAINBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:44023
Mailing Address - Country:US
Mailing Address - Phone:440-708-1331
Mailing Address - Fax:440-708-1777
Practice Address - Street 1:8401 CHAGRIN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4701
Practice Address - Country:US
Practice Address - Phone:440-708-1331
Practice Address - Fax:440-708-1777
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH170491223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry