=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447579040
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHISH PARAMESWARAN DMD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2010
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 51 CHURCH ST
-----------------------------------------------------
City | GREENFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01301-2951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-774-2369
-----------------------------------------------------
Fax | 413-774-2369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 352 PIERMONT AVE
-----------------------------------------------------
City | HILLSDALE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07642-2222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-666-9412
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number | DN1856226
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------