DR. Johnathan Carl Parks, DMD

NPI #1033735923 in Palmetto, Florida

Provider Information

NPI Number: 1033735923
Entity Type: Individual
Name: DR. Johnathan Carl Parks, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 17, 2020
Last Updated: Aug 8, 2021

Practice Location

Address: 9430 BUFFALO RD
City: Palmetto
State: Florida
ZIP Code: 34221-8687
Phone: (866) 929-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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