Provider Demographics
NPI:1952639981
Name:DELAWARE PEDIATRIC DENTISTRY - SACHIN S. PARULKAR, D.D.S., L.L.C.
Entity Type:Organization
Organization Name:DELAWARE PEDIATRIC DENTISTRY - SACHIN S. PARULKAR, D.D.S., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARULKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-678-1648
Mailing Address - Street 1:6284 PULLMAN DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7372
Mailing Address - Country:US
Mailing Address - Phone:614-678-1648
Mailing Address - Fax:
Practice Address - Street 1:6284 PULLMAN DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7372
Practice Address - Country:US
Practice Address - Phone:740-657-1562
Practice Address - Fax:740-657-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0223401223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty