Provider Demographics
NPI:1811000854
Name:KIRPEKAR, PARAG SURESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARAG
Middle Name:SURESH
Last Name:KIRPEKAR
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 1:6789 RIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5635
Mailing Address - Country:US
Mailing Address - Phone:440-884-7710
Mailing Address - Fax:440-884-7192
Practice Address - Street 1:6789 RIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5635
Practice Address - Country:US
Practice Address - Phone:440-884-7710
Practice Address - Fax:440-884-7192
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice