Provider Demographics
NPI:1811251796
Name:PARRISH FAMILY & COSMETIC DENTISTRY, LLP
Entity type:Organization
Organization Name:PARRISH FAMILY & COSMETIC DENTISTRY, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:325-247-4000
Mailing Address - Street 1:307 E STATE HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-3067
Mailing Address - Country:US
Mailing Address - Phone:325-247-4000
Mailing Address - Fax:325-247-1876
Practice Address - Street 1:307 E STATE HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-3067
Practice Address - Country:US
Practice Address - Phone:325-247-4000
Practice Address - Fax:325-247-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209861223G0001X
TX214131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty