Provider Demographics
NPI:1881824167
Name:PARIKH, PANKTI (DDS)
Entity Type:Individual
Prefix:DR
First Name:PANKTI
Middle Name:
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 1:185 DELAWARE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1716
Mailing Address - Country:US
Mailing Address - Phone:610-826-3656
Mailing Address - Fax:
Practice Address - Street 1:185 DELAWARE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1716
Practice Address - Country:US
Practice Address - Phone:610-826-3656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist