Provider Demographics
NPI:1033101027
Name:PARNES, EDMUND I (DMD)
Entity type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:I
Last Name:PARNES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 N KENDALL DR
Mailing Address - Street 2:SUITE 221
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2206
Mailing Address - Country:US
Mailing Address - Phone:305-595-4122
Mailing Address - Fax:305-595-5908
Practice Address - Street 1:8700 N KENDALL DR
Practice Address - Street 2:SUITE 221
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2206
Practice Address - Country:US
Practice Address - Phone:305-595-4122
Practice Address - Fax:305-595-5908
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL031921223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL83600Medicare ID - Type UnspecifiedMEDICARE NUMBER
FLT85585Medicare UPIN