Healthcare Provider Details

I. General information

NPI: 1639098882
Provider Name (Legal Business Name): PARI DENTAL PARKER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11355 S PARKER RD UNIT 105
PARKER CO
80134-7705
US

IV. Provider business mailing address

11355 S PARKER RD UNIT 105
PARKER CO
80134-7705
US

V. Phone/Fax

Practice location:
  • Phone: 720-471-2938
  • Fax: 303-309-2331
Mailing address:
  • Phone: 720-471-2938
  • Fax: 303-309-2331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: ASHA CHINNI
Title or Position: OWNER DENTIST
Credential:
Phone: 720-243-3593