Provider Demographics
NPI:1881757524
Name:THAPAR, PARBHAT KIRAN (DDS)
Entity type:Individual
Prefix:
First Name:PARBHAT
Middle Name:KIRAN
Last Name:THAPAR
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 1:5 DEVON CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1491
Mailing Address - Country:US
Mailing Address - Phone:732-545-9059
Mailing Address - Fax:732-545-9059
Practice Address - Street 1:1441 BROADWAY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4203
Practice Address - Country:US
Practice Address - Phone:718-443-8775
Practice Address - Fax:718-443-8775
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0397341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00940354Medicaid