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General NPI Number Information
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NPI Number | 1730445990
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Entity Type | Organization
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Legal Business Name | BRACE YOURSELF ORTHODONTICS, INC. / JAY PAREKH DDS, MS
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 1611 27TH ST STE 203
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City | PORTSMOUTH
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State | OH
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Zip | 45662-6932
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Country | US
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Telephone | 740-353-1253
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Fax | 740-354-4754
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Provider Business Mailing Address
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Address Line | 5526 WINDING CAPE WAY
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City | MASON
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State | OH
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Zip | 45040-5017
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Country | US
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Telephone | 513-335-2342
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / ORTHODONTIST
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Name | DR. JAY PAREKH
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Credential | DDS, MS
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Telephone | 513-335-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30.022056
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License Number State | OH
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