Provider Demographics
NPI:1982749768
Name:PARISE, MICHAEL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:PARISE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 STATE ROUTE 27
Mailing Address - Street 2:SUITE E
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1300
Mailing Address - Country:US
Mailing Address - Phone:732-821-0500
Mailing Address - Fax:732-821-9048
Practice Address - Street 1:1950 STATE ROUTE 27
Practice Address - Street 2:SUITE E
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1300
Practice Address - Country:US
Practice Address - Phone:732-821-0500
Practice Address - Fax:732-821-9048
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI14799122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist