Provider Demographics
NPI:1730221003
Name:PARIKH, SHAILESH S (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAILESH
Middle Name:S
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 E COMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-3548
Mailing Address - Country:US
Mailing Address - Phone:310-639-7970
Mailing Address - Fax:310-639-7972
Practice Address - Street 1:2001 E COMPTON BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3548
Practice Address - Country:US
Practice Address - Phone:310-639-7970
Practice Address - Fax:310-639-7972
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice