Park Dental of Okemos PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARK DENTAL OF OKEMOS PC

Practice address

2685 Jolly Rd
Okemos, MI 48864-3553

Phone

(517) 993-5924

Fax

(517) 993-5923

NPI assigned

Jan 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wallace Lee Walker Jr., DDS

Title

President

Phone

(517) 993-5924

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1477890689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 JOLLY RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643553",
            "telephone_number": "517-993-5924",
            "fax_number": "517-993-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 JOLLY RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643553",
            "telephone_number": "517-993-5924",
            "fax_number": "517-993-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL OF OKEMOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-993-5924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Jean Palmer, RN BSN
• Pamella Montgomery PH D PLLC
• Deborah Pappas, MA CCC-SLP
• Paradigm Shift Counseling LLC
• Smruti S Parikh, MD
• Courtney Parker
• Kevin T Parker, D.C.
• Amie Parkinson, LMSW
• Parkway Dental, P.C.
• Cindy Parrino

• Dental Clinic/Center in Okemos, MI
• Providers in Okemos, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.