J. Wesley Parker II, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10219 Issued in NC

Legal business name

J. WESLEY PARKER II, DDS, PLLC

Practice address

27 Office Park Dr
Jacksonville, NC 28546-3219

Phone

(910) 577-7775

Fax

(910) 577-7199

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Wesley Parker II, D.D.S.

Title

Owner

Phone

(910) 577-7775

Specialties & licenses 1

Addresses

Other names 1

• Parker Dental Doing business as

Locations

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1831554526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-577-7775",
            "fax_number": "910-577-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463219",
            "telephone_number": "910-577-7775",
            "fax_number": "910-577-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WESLEY PARKER II, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-577-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vankendra Isaacs
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• Samantha Ivey, DPT
• William Nicholas Ivey
• J. Thomas Stack, PH.D., PA
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• Briyana Jackson, OTR/L
• Iyani Jackson
• Karen F Jackson
• Jacksonville Behavior and Mental Health

• General Practice Dentistry in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.