Provider Demographics
NPI:1992386163
Name:KEVIN P PAREKH
Entity Type:Organization
Organization Name:KEVIN P PAREKH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-474-8832
Mailing Address - Street 1:611 E BURGESS RD STE A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6388
Mailing Address - Country:US
Mailing Address - Phone:850-474-8832
Mailing Address - Fax:850-474-1735
Practice Address - Street 1:611 E BURGESS RD STE A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6388
Practice Address - Country:US
Practice Address - Phone:850-474-8832
Practice Address - Fax:850-474-1735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental