| Phillip E. Parker, D.d.s., Pc | |
|
3669 Main Street Stone Ridge NY 12484-0553 | |
| (845) 687-0066 | |
| Not Available |
| Full Name | Phillip E. Parker, D.d.s., Pc |
|---|---|
| Speciality | Dentist |
| Location | 3669 Main Street, Stone Ridge, New York |
| Authorized Official Name and Position | Phillip E. Parker (DENTIST) |
| Authorized Official Contact | 8456870066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip E. Parker, D.d.s., Pc Po Box 553 3669 Main St. Stone Ridge NY 12484-0553 Ph: (845) 687-0066 | Phillip E. Parker, D.d.s., Pc 3669 Main Street Stone Ridge NY 12484-0553 Ph: (845) 687-0066 |
| NPI Number | 1013233832 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 04/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013233832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 040-171-1 (New York) | Primary |
Rondout Valley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gagnon Drive, Stone Ridge, NY 12484 Phone: 845-687-0600 Fax: 845-687-7296 |