Provider Demographics
NPI:1588820534
Name:PARROTT, KIRK DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:DAVID
Last Name:PARROTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 N TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-3544
Mailing Address - Country:US
Mailing Address - Phone:813-645-6491
Mailing Address - Fax:813-645-5911
Practice Address - Street 1:902 N TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-3544
Practice Address - Country:US
Practice Address - Phone:813-645-6491
Practice Address - Fax:813-645-5911
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15722122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist