Provider Demographics
NPI:1912273145
Name:BRACE YOURSELF ORTHODONTICS, INC. / JAY PAREKH DDS, MS
Entity Type:Organization
Organization Name:BRACE YOURSELF ORTHODONTICS, INC. / JAY PAREKH DDS, MS
Other - Org Name:BRACE YOURSELF ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-335-2342
Mailing Address - Street 1:5526 WINDING CAPE WAY
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-5017
Mailing Address - Country:US
Mailing Address - Phone:513-335-2342
Mailing Address - Fax:
Practice Address - Street 1:1937 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7747
Practice Address - Country:US
Practice Address - Phone:606-329-0038
Practice Address - Fax:606-329-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY84341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty