Provider Demographics
NPI:1588217806
Name:PARIKH, MEGAN NILESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:NILESH
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23033 FREMONT DR N
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-6812
Mailing Address - Country:US
Mailing Address - Phone:248-231-4023
Mailing Address - Fax:
Practice Address - Street 1:500 PERRY RD STE 205
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1482
Practice Address - Country:US
Practice Address - Phone:810-603-3368
Practice Address - Fax:810-771-7364
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600189122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist