Provider Demographics
NPI:1992728166
Name:PARRAN, JOEL LEE (DDS)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:LEE
Last Name:PARRAN
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 1:5565 STERRETT PL
Mailing Address - Street 2:SUITE 121
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2665
Mailing Address - Country:US
Mailing Address - Phone:410-730-0303
Mailing Address - Fax:410-730-0089
Practice Address - Street 1:5565 STERRETT PL
Practice Address - Street 2:SUITE 121
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2665
Practice Address - Country:US
Practice Address - Phone:410-730-0303
Practice Address - Fax:410-730-0089
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD057681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice