Individual
DR. BRENT ELLIS PARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2014 5TH AVE, OROVILLE, CA 95965-5815
(530) 533-8204
(530) 533-3161
Mailing address
22450 S 201ST CT, QUEEN CREEK, AZ 85142-6311
(530) 966-5335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
AZ4666
AZ
1223G0001X
General Practice Dentistry
Primary
C46921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-549561-V
STATE BUSINESS ID
AZ
01
—
1457447278
NPI
—
01
—
1467179325
NPI
—
01
—
1942687215
NPI
—
01
—
86-0939087
FEDERAL BUSINESS ID
AZ
Enumeration date
10/05/2006
Last updated
07/22/2024
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