Healthcare Provider Details

I. General information

NPI: 1689508301
Provider Name (Legal Business Name): DHARA PARIKH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4013 VILLAGE PARK DR
KNIGHTDALE NC
27545-7044
US

IV. Provider business mailing address

4013 VILLAGE PARK DR
KNIGHTDALE NC
27545-7044
US

V. Phone/Fax

Practice location:
  • Phone: 919-217-2813
  • Fax:
Mailing address:
  • Phone: 919-217-2813
  • Fax: 919-217-2833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14780
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: