Provider Demographics
NPI:1538181052
Name:PARMELY, GARY HOWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:HOWARD
Last Name:PARMELY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2190 LARKSPUR LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0636
Mailing Address - Country:US
Mailing Address - Phone:530-222-1400
Mailing Address - Fax:530-222-1484
Practice Address - Street 1:2190 LARKSPUR LN
Practice Address - Street 2:SUITE 100
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0636
Practice Address - Country:US
Practice Address - Phone:530-222-1400
Practice Address - Fax:530-222-1484
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA282161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice