Allen L Parler, DDS

Individual provider Active NPI General Practice Dentistry · Mannington, WV

NPI 1811070618 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811070618
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2766 (WV)
Practice address
330 E Main St
Mannington, WV 26582-1102
Phone
(304) 986-2610
Fax
(304) 986-2919
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2766WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Camele&Parker DDS, Inc. General Practice Past Accepting new patients
Main Street Dental, PLLC General Practice Past
since Feb 25, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2766 WV Yes

Addresses

Primary practice location

330 E Main St
Mannington, WV 26582-1102

Mailing address

330 E Main St
Mannington, WV 26582-1102
Phone (304) 986-2610

Other identifiers

IdentifierTypeStateIssuer
0137085000MedicaidWV

Other providers in Mannington, WV

All providers in Mannington, WV · General Practice Dentistry in West Virginia

Sources for this page

Verify at the official NPI Registry.