Parker Dental & Orthodontics

Organization Active NPI General Practice Dentistry · Vancleave, MS

NPI 1134546716 · NPPES record last updated Mar 21, 2014

Key facts

NPI
1134546716
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2744 (MS)
Legal business name
PARKER DENTAL & ORTHODONTICS
Practice address
PO Box Box 5786
Vancleave, MS 39565-5786
Phone
(228) 283-5022
Fax
(228) 283-5017
NPI assigned
Mar 21, 2014
Organization subpart
No

Authorized official

Name
Dr. Hubert H Parker IV, DMD
Title
Owner
Phone
(228) 283-5022

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hubert H Parker IV DMD PC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 2744 MS Yes

Addresses

Primary practice location

PO Box Box 5786
Vancleave, MS 39565-5786

Mailing address

11628 Highway 57
PO Box 5786
Vancleave, MS 39565-8231
Phone (228) 283-5022

Other providers in Vancleave, MS

All providers in Vancleave, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.