Healthcare Provider Details

I. General information

NPI: 1538318944
Provider Name (Legal Business Name): DENTISTRY 4 YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 PEACHTREE INDUSTRIAL BLVD SUITE 116
SUWANEE GA
30024-8762
US

IV. Provider business mailing address

1039 PEACHTREE INDUSTRIAL BLVD SUITE 116
SUWANEE GA
30024-8762
US

V. Phone/Fax

Practice location:
  • Phone: 770-614-3232
  • Fax:
Mailing address:
  • Phone: 770-614-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. UDAY M PARIKH
Title or Position: PRESIDENT
Credential: DDS
Phone: 770-614-3232