Healthcare Provider Details

I. General information

NPI: 1831018035
Provider Name (Legal Business Name): DR. NICHOLAS DHARMESH PARBHOO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

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

49 HOSIERY MILL RD STE 125
DALLAS GA
30157-1688
US

IV. Provider business mailing address

49 HOSIERY MILL RD STE 125
DALLAS GA
30157-1688
US

V. Phone/Fax

Practice location:
  • Phone: 770-445-1314
  • Fax: 770-445-1319
Mailing address:
  • Phone: 770-445-1314
  • Fax: 770-445-1319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN124246
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: