Provider Demographics
NPI:1871086025
Name:PARVEZ, NAZAYAT (DDS)
Entity type:Individual
Prefix:
First Name:NAZAYAT
Middle Name:
Last Name:PARVEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 FM 423 APT 526
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0518
Mailing Address - Country:US
Mailing Address - Phone:832-863-4084
Mailing Address - Fax:
Practice Address - Street 1:700 E CAMPBELL RD STE 240
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2042
Practice Address - Country:US
Practice Address - Phone:972-690-6653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice