| Gary A Parker Dds Apdc | |
|
320 Austin St Bogalusa LA 70427-3818 | |
| (985) 735-7653 | |
| (985) 735-7688 |
| Full Name | Gary A Parker Dds Apdc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 320 Austin St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Gary A Parker (DENTIST PRESIDENT) |
| Authorized Official Contact | 9857357653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Parker Dds Apdc 320 Austin St Bogalusa LA 70427-3818 Ph: (985) 735-7653 | Gary A Parker Dds Apdc 320 Austin St Bogalusa LA 70427-3818 Ph: (985) 735-7653 |
| NPI Number | 1740385574 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740385574 | NPI | - | NPPES |
| 1833215 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3321 (Louisiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 3321 (Louisiana) | Primary |
Louisiana Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Memphis St, Bogalusa, LA 70427 Phone: 985-735-0078 | |
Family Dentistry Of Bogalusa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Louisiana Ave, Bogalusa, LA 70427 Phone: 985-735-7372 Fax: 985-732-5944 |