Ty Parker Dmd PC

NPI #1023677069 in Fairview Heights, Illinois

Provider Information

NPI Number
1023677069
Entity Type
Organization
Organization Name
Ty Parker Dmd PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 12, 2019
Last Updated
Jun 12, 2019

Practice Location

Address
314 FOUNTAINS PKWY STE C
ZIP Code
62208-2165
Phone
(618) 622-1800

Authorized Official

Name
STEVE MCCANN
Title
OFFICE MANAGER
Phone
(618) 622-1800

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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