Provider Demographics
NPI:1588720551
Name:PARIKH, DEVENDRA B (DDS)
Entity type:Individual
Prefix:DR
First Name:DEVENDRA
Middle Name:B
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17103-2524
Mailing Address - Country:US
Mailing Address - Phone:717-236-0300
Mailing Address - Fax:717-236-4611
Practice Address - Street 1:1829 MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17103-2524
Practice Address - Country:US
Practice Address - Phone:717-236-0300
Practice Address - Fax:717-236-4611
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020872-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice