Parker, Ty
Parker, Ty is an individual health care provider with primary practice located at 314 Fountains Pkwy Ste C , Fairview Heights IL 62208-2165. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Parker, Ty can be contacted via phone (618) 622-1800.Contact Information
Primary practice address
314 Fountains Pkwy Ste C
Fairview Heights IL 62208-2165
Phone: (618) 622-1800
Fax: (618) 466-1433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019027434 | Illinois |
Profile Details
| NPI number | 1417156951 |
|---|---|
| LBN Legal business name | Parker, Ty |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2007 |
| Last updated | Dec 20th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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