Edward Sidney Parker Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011399 Issued in GA

Practice address

368 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3101

Phone

(912) 882-9602

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Coastal Dental Care

  • General Practice Dentistry
  • Saint Marys, GA
  • NPI 1063616134
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972652444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 CHARLIE SMITH SR HWY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583101",
            "telephone_number": "912-882-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 CHARLIE SMITH SR HWY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583101",
            "telephone_number": "912-882-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "EDWARD",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Christopher Orr, M.D.
• P L Hooton DMD PC (Camden Dental Care)
• Lauren J Panzarella, D.C.
• Livio Federico Pardi, MD
• Jennifer Parham, RN
• Stephanie Delphine Parris, P.A.-C
• Pauline L. Jacinto MD
• Allison Penney
• Annette O. Perry, LPC, NCC
• Michelle Yvonne Perry, M.D.

• General Practice Dentistry in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.