Douglas D Parks, DDS is a
Dentist based in Aztec, New Mexico. Douglas D Parks is licensed to practice in New Mexico (license number DD1903) and his current practice location is
501 S Main Ave, Aztec, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 334-6116.
NPI number for Douglas D Parks is 1700029964 and his current mailing address is 501 S Main Ave, Aztec, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700029964.
Healthcare Provider's Profile
| Full Name | Douglas D Parks |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 501 S Main Ave, Aztec, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700029964
- Provider Enumeration Date: 04/16/2009
- Last Update Date: 04/16/2009
Medical Identifiers
Medical identifiers for Douglas D Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700029964 | NPI | - | NPPES |
| 1679507859 | Other | NM | DENTAL OFFICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DD1903 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas D Parks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas D Parks, DDS
501 S Main Ave,
Aztec, NM 87410-2247
Ph: (505) 334-6116 | Douglas D Parks, DDS
501 S Main Ave,
Aztec, NM 87410-2247
Ph: (505) 334-6116 |
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