Provider Demographics
NPI:1801351994
Name:ANTHONY E. PARRISH, D.D.S., PC
Entity type:Organization
Organization Name:ANTHONY E. PARRISH, D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-981-3006
Mailing Address - Street 1:3653 FLAKES MILL ROAD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DEACTUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034
Mailing Address - Country:US
Mailing Address - Phone:770-981-3006
Mailing Address - Fax:770-981-2260
Practice Address - Street 1:3653 FLAKES MILL ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:DEACTUR
Practice Address - State:GA
Practice Address - Zip Code:30034
Practice Address - Country:US
Practice Address - Phone:770-981-3006
Practice Address - Fax:770-981-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty