Healthcare Provider Details

I. General information

NPI: 1942307756
Provider Name (Legal Business Name): DARLENE RENEA PARRISH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/31/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 E. UNIVERSITY AVENUE STE 302
DES MOINES IA
50316
US

IV. Provider business mailing address

1345 E. UNIVERSITY AVENUE STE 302
DES MOINES IA
50316
US

V. Phone/Fax

Practice location:
  • Phone: 515-264-9022
  • Fax: 515-264-9011
Mailing address:
  • Phone: 515-264-9022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDN19964
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11033
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS-10271
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: