Provider Demographics
NPI:1295573210
Name:BHRITA PARIKH DMD LLC
Entity type:Organization
Organization Name:BHRITA PARIKH DMD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BHRITA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:213-590-2049
Mailing Address - Street 1:11507 GLANMIRE DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-0068
Mailing Address - Country:US
Mailing Address - Phone:213-590-2049
Mailing Address - Fax:
Practice Address - Street 1:8488 CHARLOTTE HWY
Practice Address - Street 2:SUIT 101
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-7587
Practice Address - Country:US
Practice Address - Phone:213-590-2049
Practice Address - Fax:839-400-2196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities