| Cynthia D. Parks Dds, Pllc | |
|
601 Venture Dr Suite 200 Morgantown WV 26508-7310 | |
| (304) 777-4114 | |
| (304) 777-4115 |
| Full Name | Cynthia D. Parks Dds, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 Venture Dr, Morgantown, West Virginia |
| Authorized Official Name and Position | Cynthia Denise Parks (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3047774114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia D. Parks Dds, Pllc 601 Venture Dr Suite 200 Morgantown WV 26508-7310 Ph: (304) 777-4114 | Cynthia D. Parks Dds, Pllc 601 Venture Dr Suite 200 Morgantown WV 26508-7310 Ph: (304) 777-4114 |
| NPI Number | 1154713246 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154713246 | NPI | - | NPPES |
| 012065100 | Medicaid | MD | |
| 3810006975 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 13688 (Maryland) | Primary |
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