Kenneth W Parks in Lake Charles - Endodontics

Kenneth W Parks - NPI 1043326390

Kenneth W Parks is a Endodontics in Lake Charles, Louisiana. Kenneth W Parks practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kenneth W Parks is 1043326390. The last update date is 2007-07-08.

Kenneth W Parks's current location address is 636 West Mcneese St, Lake Charles, Louisiana. You can contact this provider via phone number 3374776124 and fax number 3374776885. The mailing address for Kenneth W Parks is 636 West Mcneese St, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth W Parks
Address 636 West Mcneese St, Lake Charles, Louisiana
Phone Number 3374776124
Fax Number 3374776885
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1043326390
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 636 West Mcneese St
City Lake Charles
State Louisiana (LA)
Post Code 70605
Phone Number 3374776124
Fax Number 3374776885

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 3873
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1838730 LA --
G1204 BLUE CROSS OF LA
807933 UNITED CONCORDIA

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FAQs about Kenneth W Parks

What is the unique 10-digit identifier code issued to Kenneth W Parks by the Centers for Medicare & Medicaid Services?

The Kenneth W Parks has been assigned the NPI (National Provider Identifier) 1043326390 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Kenneth W Parks's physical address?

The Kenneth W Parks is physically located at 636 West Mcneese St, in the city of Lake Charles, LA, with the postal code 70605.

What is Kenneth W Parks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth W Parks is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.

When did the Kenneth W Parks receive its 1043326390?

The Kenneth W Parks was issued its 1043326390 on 2006-08-21, which is the date when the organization was assigned this unique identifier.

When was the Kenneth W Parks's information last updated?

The Kenneth W Parks's information was last updated on 2007-07-08.

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