| Ty Parker Dmd Pc | |
|
314 Fountains Pkwy Ste C Fairview Heights IL 62208-2165 | |
| (618) 622-1800 | |
| (618) 622-0007 |
| Full Name | Ty Parker Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 314 Fountains Pkwy Ste C, Fairview Heights, Illinois |
| Authorized Official Name and Position | Steve Mccann (OFFICE MANAGER) |
| Authorized Official Contact | 6186221800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ty Parker Dmd Pc 314 Fountains Pkwy Ste C Fairview Heights IL 62208-2165 Ph: (618) 622-1800 | Ty Parker Dmd Pc 314 Fountains Pkwy Ste C Fairview Heights IL 62208-2165 Ph: (618) 622-1800 |
| NPI Number | 1023677069 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023677069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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