Healthcare Provider Details

I. General information

NPI: 1417885666
Provider Name (Legal Business Name): BRIAN PARSA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4712 RICHMOND HWY
RICHMOND VA
23234-3162
US

IV. Provider business mailing address

26 S STAFFORD AVE
RICHMOND VA
23220-5229
US

V. Phone/Fax

Practice location:
  • Phone: 804-271-9828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401420076
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: