Ty Parker, DMD

NPI #1417156951 in Fairview Heights, Illinois

Provider Information

NPI Number
1417156951
Entity Type
Individual
Name
Ty Parker, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 14, 2007
Last Updated
Dec 20, 2023

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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Lifetime Dental Care of Illinois, PC

Part of Lifetime Dental Care of Illinois, PC

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