NPI 1902214604
Phillip Parker, DDS
Practice location
- Address
- 3669 Main St, Stone Ridge, NY 12484-5613
- Phone
- (845) 687-0066
- Mailing address
- 24 Twin Ponds Dr, Kingston, NY 12401-6432
Registered specialties
Advanced Practice Dental Therapist
Primary
Registry record
- NPI
- 1902214604
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2014
- Record last updated
- 25 Jul 2014
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.