Provider Demographics
NPI:1457706921
Name:PARIKH, MAITRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAITRY
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 US HIGHWAY 70 SE STE 112
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-6005
Mailing Address - Country:US
Mailing Address - Phone:828-267-1400
Mailing Address - Fax:
Practice Address - Street 1:2535 US HIGHWAY 70 SE STE 112
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602
Practice Address - Country:US
Practice Address - Phone:828-267-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC106911223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice