Provider Demographics
NPI:1730252008
Name:PARISI, BERNICE MARIE (DMD)
Entity type:Individual
Prefix:
First Name:BERNICE
Middle Name:MARIE
Last Name:PARISI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 DARBY SQ
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-9300
Mailing Address - Country:US
Mailing Address - Phone:610-286-1606
Mailing Address - Fax:610-286-1609
Practice Address - Street 1:201 DARBY SQ
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9300
Practice Address - Country:US
Practice Address - Phone:610-286-1606
Practice Address - Fax:610-286-1609
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026680L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics