Provider Demographics
NPI:1669031381
Name:PARIKH, ADAM JATIN (DMD, MSD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:JATIN
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 ROBERTA LN STE 101
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1893
Mailing Address - Country:US
Mailing Address - Phone:775-799-3468
Mailing Address - Fax:775-799-3465
Practice Address - Street 1:1075 ROBERTA LN STE 101
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1893
Practice Address - Country:US
Practice Address - Phone:775-799-3468
Practice Address - Fax:775-799-3465
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10285122300000X
NVS4-1271223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist