Provider Demographics
NPI:1679760789
Name:RUJUL G PARIKH DDS INC
Entity Type:Organization
Organization Name:RUJUL G PARIKH DDS INC
Other - Org Name:NUSMILE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RUJUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-955-1800
Mailing Address - Street 1:707 E MARCH LN STE 1
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5864
Mailing Address - Country:US
Mailing Address - Phone:209-955-1800
Mailing Address - Fax:
Practice Address - Street 1:707 E MARCH LN STE 1
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5864
Practice Address - Country:US
Practice Address - Phone:209-955-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA-46512261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG-9410301Medicaid