Provider Demographics
NPI:1801938212
Name:PARLANTE, JOSEPH RAY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAY
Last Name:PARLANTE
Suffix:
Gender:M
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:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:WI
Mailing Address - Zip Code:53910-0159
Mailing Address - Country:US
Mailing Address - Phone:608-339-6613
Mailing Address - Fax:608-339-3936
Practice Address - Street 1:149 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:WI
Practice Address - Zip Code:53910-0159
Practice Address - Country:US
Practice Address - Phone:608-339-6613
Practice Address - Fax:608-339-3936
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33498200Medicaid