Healthcare Provider Details

I. General information

NPI: 1588869002
Provider Name (Legal Business Name): PRIYA PARASHER D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 W 170TH ST
BRONX NY
10452-0355
US

IV. Provider business mailing address

2628 BROADWAY APT 12B
NEW YORK NY
10025-5009
US

V. Phone/Fax

Practice location:
  • Phone: 713-293-7670
  • Fax: 718-293-7672
Mailing address:
  • Phone: 281-788-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number50-051011
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number23070
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: