Dr Justin Ray Parks, DDS is a
Dentist based in Mill Creek, Oklahoma. Dr Justin Ray Parks is licensed to practice in Oklahoma (license number 5619) and his current practice location is
7370 S. Pine Creek Rd, Mill Creek, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 371-3900.
NPI number for Dr Justin Ray Parks is 1508083940 and his current mailing address is 1520 E Main St, Tishomingo, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508083940.
Healthcare Provider's Profile
| Full Name | Dr Justin Ray Parks |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 7370 S. Pine Creek Rd, Mill Creek, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508083940
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Dr Justin Ray Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508083940 | NPI | - | NPPES |
| 200003990A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 5619 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin Ray Parks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Justin Ray Parks, DDS
1520 E Main St,
Tishomingo, OK 73460-2409
Ph: (580) 371-3900 | Dr Justin Ray Parks, DDS
7370 S. Pine Creek Rd,
Mill Creek, OK 74856
Ph: (580) 371-3900 |
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