Provider Demographics
NPI:1447546239
Name:SHRESTHA, PARAS (DMD)
Entity type:Individual
Prefix:DR
First Name:PARAS
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 REGENCY CT
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7619
Mailing Address - Country:US
Mailing Address - Phone:773-710-8148
Mailing Address - Fax:423-339-2228
Practice Address - Street 1:4335 KEITH ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4818
Practice Address - Country:US
Practice Address - Phone:423-479-5400
Practice Address - Fax:423-339-2228
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000097851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice