Provider Demographics
NPI:1598754707
Name:PARIKH, PRITI NIMISH (DDS)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:NIMISH
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 1:1246 INMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1111
Mailing Address - Country:US
Mailing Address - Phone:718-794-0384
Mailing Address - Fax:718-794-0789
Practice Address - Street 1:1211B PUGSLEY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-5040
Practice Address - Country:US
Practice Address - Phone:718-794-0384
Practice Address - Fax:718-794-0789
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045703122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist