Provider Demographics
NPI:1841609344
Name:PAREEK, KRATIKA (DMD)
Entity type:Individual
Prefix:MRS
First Name:KRATIKA
Middle Name:
Last Name:PAREEK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 BEACON PKWY E
Mailing Address - Street 2:APT 206
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-1022
Mailing Address - Country:US
Mailing Address - Phone:205-253-2913
Mailing Address - Fax:
Practice Address - Street 1:1152 OLD SALEM RD SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5944
Practice Address - Country:US
Practice Address - Phone:678-836-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014851122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist