Van Parker in Blytheville - General Practice

Van Parker - NPI 1417976275

Van Parker is a General Practice in Blytheville, Arkansas. Van Parker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Van Parker is 1417976275. The last update date is 2007-07-08.

Van Parker's current location address is 522 Lumerate St, Blytheville, Arkansas. You can contact this provider via phone number 8707635546. The mailing address for Van Parker is 522 Lumerate St, Blytheville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Van Parker
Address 522 Lumerate St, Blytheville, Arkansas
Phone Number 8707635546
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1417976275
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 522 Lumerate St
City Blytheville
State Arkansas (AR)
Post Code 723152418
Phone Number 8707635546
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2167
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AR 2167 AR LICENSE NUMBER

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FAQs about Van Parker

What is the unique identifier code issued to Van Parker by the Centers for Medicare & Medicaid Services (CMS)?

The Van Parker has been assigned the NPI (National Provider Identifier) 1417976275. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Van Parker is located?

The Van Parker is situated at the following address: 522 Lumerate St, Blytheville, AR, 723152418.

What is Van Parker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Van Parker's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When did Van Parker receive its 1417976275 assignment?

The Van Parker was assigned its 1417976275 on 2006-07-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Van Parker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Van Parker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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