NPI 1013141217

Timothy J Parker DMD PA

Organisation Oral and Maxillofacial Surgery (Dentist) Jacksonville, FL

Practice location

Address: 8351 Bayberry Rd, Jacksonville, FL 32256-4427
Phone: (904) 737-3263
Fax: (904) 448-5301

Authorised official

Name: Timothy J Parker
Title: Owner
Phone: (904) 737-3263

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence DN0010957 (FL)

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Registry record

NPI: 1013141217
Entity type: Organization
NPI issued: 4 May 2009
Record last updated: 15 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.