| Parker Dental, L.l.c. | |
|
502 S Main St Brownstown IN 47220-1920 | |
| (812) 525-2372 | |
| Not Available |
| Full Name | Parker Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 502 S Main St, Brownstown, Indiana |
| Authorized Official Name and Position | Eric Dewayne Parker (OWNER) |
| Authorized Official Contact | 8125252372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Dental, L.l.c. 502 S Main St Brownstown IN 47220-1920 Ph: (812) 525-2372 | Parker Dental, L.l.c. 502 S Main St Brownstown IN 47220-1920 Ph: (812) 525-2372 |
| NPI Number | 1881074458 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881074458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012289A (Indiana) | Primary |
Indiana Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 W Commerce St, Brownstown, IN 47220 Phone: 812-358-5950 Fax: 812-358-2062 |