Provider Demographics
NPI:1902015423
Name:PARROTT, GILBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:
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 1:3344 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1108
Mailing Address - Country:US
Mailing Address - Phone:773-549-1920
Mailing Address - Fax:773-348-7544
Practice Address - Street 1:3344 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1108
Practice Address - Country:US
Practice Address - Phone:773-549-1920
Practice Address - Fax:773-348-7544
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice