Christopher Allen Parks in Sullivan - Periodontics
Christopher Allen Parks - NPI 1386653095
Christopher Allen Parks is a Periodontics in Sullivan, Missouri. Christopher Allen Parks practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Christopher Allen Parks is 1386653095. The last update date is 2011-05-03.
Christopher Allen Parks's current location address is 400 Cumberland Way, Sullivan, Missouri. You can contact this provider via phone number 5734687556 and fax number 5734687530. The mailing address for Christopher Allen Parks is 400 Cumberland Way, Sullivan, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Allen Parks |
|---|---|
| Address | 400 Cumberland Way, Sullivan, Missouri |
| Phone Number | 5734687556 |
| Fax Number | 5734687530 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386653095 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2011-05-03 |
Provider Mailing Address Detail
| Address | 400 Cumberland Way |
|---|---|
| City | Sullivan |
| State | Missouri (MO) |
| Post Code | 630803321 |
| Phone Number | 5734687556 |
| Fax Number | 5734687530 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 20030115559 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Christopher Allen Parks's 1386653095?
The Christopher Allen Parks's NPI (National Provider Identifier) Number is 1386653095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Christopher Allen Parks?
The Christopher Allen Parks is situated at 400 Cumberland Way, in the city of Sullivan, state of MO, with the zip code 630803321.
What is the Christopher Allen Parks's specialty and taxonomy code?
The Christopher Allen Parks's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386653095 to Christopher Allen Parks?
The Centers for Medicare & Medicaid Services originally issued the 1386653095 to Christopher Allen Parks on 2006-08-05.
As of what date were the details related to Christopher Allen Parks most recently updated or revised?
The information pertaining to Christopher Allen Parks, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-03.