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General NPI Number Information
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NPI Number | 1467694471
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Entity Type | Individual
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Provider Name | NIRAL N. PARIKH D.D.S, B.O.S
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Gender | Male
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 1259 S. CEDAR CREST BLVD. STE. 302
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City | ALLENTOWN
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State | PA
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Zip | 18103-6294
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Country | US
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Telephone | 610-437-1727
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Fax | 610-437-4715
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Provider Business Mailing Address
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Address Line | 1259 S. CEDAR CREST BLVD. STE. 302
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City | ALLENTOWN
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State | PA
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Zip | 18103-6294
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Country | US
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Telephone | 610-437-1727
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Fax | 610-437-4715
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS039058
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DA031685
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License Number State | PA
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