Healthcare Provider Details

I. General information

NPI: 1649026873
Provider Name (Legal Business Name): PARV PARASHER BDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20508 SOUTHGATE PARK BLVD
MAPLE HEIGHTS OH
44137-2900
US

IV. Provider business mailing address

80 VAUGHAN DR
NEWARK NJ
07103-3468
US

V. Phone/Fax

Practice location:
  • Phone: 216-663-2292
  • Fax:
Mailing address:
  • Phone: 856-462-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.028596
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: