| Parker Dental Clinic, Llc | |
|
4501 Coleman St Suite 107 Bismarck ND 58503 | |
| (170) 120-4723 | |
| Not Available |
| Full Name | Parker Dental Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4501 Coleman St, Bismarck, North Dakota |
| Authorized Official Name and Position | Riley D Parker (OWNER) |
| Authorized Official Contact | 17019894302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Dental Clinic, Llc 3112 Stonewall Dr Bismarck ND 58503-7817 Ph: (170) 198-9430 | Parker Dental Clinic, Llc 4501 Coleman St Suite 107 Bismarck ND 58503 Ph: (170) 120-4723 |
| NPI Number | 1275873440 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275873440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2095 (North Dakota) | Primary |
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