Mark Henry Parker, DDS PLLC
Individual provider Active NPI General Practice Dentistry · Purvis, MS
NPI 1447347349 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447347349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 283594 (MS)
- Practice address
- 5790 US Hwy 11
Purvis, MS 39475 - Phone
- (601) 794-6013
- Fax
- (601) 794-6313
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283594 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 283594 | MS | Yes |
Addresses
Primary practice location
5790 US Hwy 11
Purvis, MS 39475
Mailing address
PO Box 1949
5790 US Hwy 11
Purvis, MS 39475
Phone (601) 794-6013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066093 | Medicaid | MS |
Other providers in Purvis, MS
- Robin Murphree
- Megan Nathalia
- Michael R O'Neal
- Sarah O'Quinn
- Cailyn Papp
- Pearl River County Hospital
- Demetrius Powe
- Precision Vision Inc.
- Professional Rehabilitation Services
- Purvis High School
All providers in Purvis, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.