Provider Demographics
NPI:1982452769
Name:PARIJATHAM DENTAL PLLC
Entity Type:Organization
Organization Name:PARIJATHAM DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-243-3593
Mailing Address - Street 1:10139 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-9763
Mailing Address - Country:US
Mailing Address - Phone:720-243-3593
Mailing Address - Fax:
Practice Address - Street 1:11355 S PARKER RD UNIT 109
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7705
Practice Address - Country:US
Practice Address - Phone:720-471-2938
Practice Address - Fax:303-382-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty