Provider Demographics
NPI:1447301783
Name:PARMAR, KIRPAL SINGH (DDS)
Entity type:Individual
Prefix:DR
First Name:KIRPAL
Middle Name:SINGH
Last Name:PARMAR
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:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34106-0429
Mailing Address - Country:US
Mailing Address - Phone:239-252-2697
Mailing Address - Fax:239-774-5653
Practice Address - Street 1:3339 TAMIAMI TRL E
Practice Address - Street 2:SUITE 145
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5361
Practice Address - Country:US
Practice Address - Phone:239-252-2697
Practice Address - Fax:239-774-5653
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN101251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL072002000Medicaid