| Timothy J Parker Dmd Pa | |
|
8351 Bayberry Rd Jacksonville FL 32256-4427 | |
| (904) 737-3263 | |
| (904) 448-5301 |
| Full Name | Timothy J Parker Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 8351 Bayberry Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Timothy J Parker (OWNER) |
| Authorized Official Contact | 9047373263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Parker Dmd Pa 8351 Bayberry Rd Jacksonville FL 32256-4427 Ph: (904) 737-3263 | Timothy J Parker Dmd Pa 8351 Bayberry Rd Jacksonville FL 32256-4427 Ph: (904) 737-3263 |
| NPI Number | 1013141217 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 5597814533 |
|---|---|
| Medicare Enrollment ID | O20090521000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013141217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN0010957 (Florida) | Primary |
| Provider Name | Timothy J Parker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861429086 PECOS PAC ID: 5698824704 Enrollment ID: I20090520000437 |
Donald L. Smitha, Dds, Mds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Alderman Rd, Jacksonville, FL 32211 Phone: 904-725-8282 Fax: 904-725-7197 | |
Selena L Marchan, Dmd, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 13475 Atlantic Blvd, Ste 36, Jacksonville, FL 32225 Phone: 904-246-2603 Fax: 904-247-9663 | |
Roger D. Robinson Jr., D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 Cardinal Point Drive, Jacksonville, FL 32257 Phone: 904-737-2040 Fax: 904-737-2051 | |
Aspen Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 Fax: 315-410-5531 | |
Ben Lewis, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 N Lee St, Jacksonville, FL 32204 Phone: 904-366-3736 | |
Joseph G Chiafair Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9471 Baymeadows Rd, Suite 101, Jacksonville, FL 32256 Phone: 904-739-3939 Fax: 904-739-1381 |