Sneha M Parikh, DMD

Individual provider Active NPI Dentist · Greencastle, PA

NPI 1629232020 · NPPES record last updated Jul 12, 2014

Key facts

NPI
1629232020
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
20503 (MA)
Practice address
252 Hykes Rd E
Greencastle, PA 17225-8427
Phone
(617) 821-3395
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170106000935 MA Order and Referring Only - Dentist
Practitioner - Dentist
5193006112

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
20503MAMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20503 MA Yes

Addresses

Primary practice location

252 Hykes Rd E
Greencastle, PA 17225-8427

Mailing address

252 Hykes Rd E
Greencastle, PA 17225-8427
Phone (617) 821-3395

Other providers in Greencastle, PA

All providers in Greencastle, PA · Dentist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.