NPIMap

Organization Active NPI

Dharmesh Parbhoo P.C.

  • Dental Clinic/Center
  • College Park, GA
National Provider Identifier
1912188848
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
GA011258 Issued in GA
Legal business name
DHARMESH PARBHOO P.C.
Doing business as
LifeSmiles Of College park
Practice address
1177 Garden Walk Blvd
College Park, GA 30349-6245
Phone
(770) 997-9090
Fax
(770) 997-1387
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dharmesh Parbhoo, D.D.S.
Title
Owner
Phone
(770) 997-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X GA011258 GA Primary

Addresses

Primary practice location

1177 Garden Walk Blvd
College Park, GA 30349-6245

Mailing address

1177 Garden Walk Blvd
College Park, GA 30349-6245
Phone (770) 997-9090

Other identifiers 1

IdentifierTypeStateIssuer
000905583DMedicaidGA

Other names 1

  • LifeSmiles Of College park Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1912188848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 GARDEN WALK BLVD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496245",
            "telephone_number": "770-997-9090",
            "fax_number": "770-997-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 GARDEN WALK BLVD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303496245",
            "telephone_number": "770-997-9090",
            "fax_number": "770-997-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHARMESH PARBHOO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "PARBHOO",
        "authorized_official_first_name": "DHARMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-997-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "GA011258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000905583D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSmiles Of College park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.