Provider Demographics
NPI:1265786594
Name:PARSI, PEDRAM (DDS)
Entity type:Individual
Prefix:
First Name:PEDRAM
Middle Name:
Last Name:PARSI
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S DUCK ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4051
Mailing Address - Country:US
Mailing Address - Phone:405-377-7300
Mailing Address - Fax:
Practice Address - Street 1:510 S DUCK ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4051
Practice Address - Country:US
Practice Address - Phone:405-377-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist