Individual
MATTHEW JEFFREY PARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13390 OVERVIEW DR, FISHERS, IN 46037-6314
(317) 565-4249
Mailing address
559 VINCENT ST BLDG 959, PETERSON AFB, CO 80914-1541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012553A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012553A
IN
Other
Enumeration date
03/09/2016
Last updated
08/03/2023
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