Parker Dental, L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012289A Issued in IN

Legal business name

PARKER DENTAL, L.L.C.

Practice address

502 S Main St
Brownstown, IN 47220-1920

Phone

(812) 525-2372

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Dewayne Parker, D.D.S.NPI 1982072146

Title

Owner

Phone

(812) 525-2372

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Dewayne Parker, D.D.S.

  • General Practice Dentistry
  • Brownstown, IN
  • NPI 1982072146
  NPD (past) Authorized official

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1881074458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472201920",
            "telephone_number": "812-525-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S MAIN ST",
            "city": "BROWNSTOWN",
            "state": "IN",
            "postal_code": "472201920",
            "telephone_number": "812-525-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-525-2372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012289A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Lewis McGill, MD
• Amy Miskuf, PT
• Bobby Nasir
• Gordon Ermel Newlin, D.D.S.
• Chrissie Pack, RBT
• Eric Dewayne Parker, D.D.S.
• Rem Indiana (Indiana Mentor)
• Bonita Lynne Robertson
• Roni J Scarlett, P.T.
• Amy Shaw

• General Practice Dentistry in Brownstown, IN
• Providers in Brownstown, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.