Provider Demographics
NPI:1831798057
Name:PAREEK, KAMLESHWAR (BDS, MPH, MS)
Entity type:Individual
Prefix:
First Name:KAMLESHWAR
Middle Name:
Last Name:PAREEK
Suffix:
Gender:M
Credentials:BDS, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 DORSET ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6251
Mailing Address - Country:US
Mailing Address - Phone:802-860-3368
Mailing Address - Fax:802-860-3367
Practice Address - Street 1:165 DORSET ST
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6251
Practice Address - Country:US
Practice Address - Phone:802-860-3368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016.0133967EMGY1223X2210X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X2210XDental ProvidersDentistOrofacial Pain