Jerry Lee Parker in Birmingham - Pediatric Dentistry
Jerry Lee Parker - NPI 1336157759
Jerry Lee Parker is a Pediatric Dentistry in Birmingham, Alabama. Jerry Lee Parker practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jerry Lee Parker is 1336157759. The last update date is 2007-07-08.
Jerry Lee Parker's current location address is 1263 Center Point Pkwy, Birmingham, Alabama. You can contact this provider via phone number 2058560148 and fax number 2058563018. The mailing address for Jerry Lee Parker is 1263 Center Point Pkwy, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Parker |
|---|---|
| Address | 1263 Center Point Pkwy, Birmingham, Alabama |
| Phone Number | 2058560148 |
| Fax Number | 2058563018 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1336157759 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1263 Center Point Pkwy |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352156347 |
| Phone Number | 2058560148 |
| Fax Number | 2058563018 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2780 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95203 | AL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry Lee Parker by the Centers for Medicare & Medicaid Services?
The Jerry Lee Parker has been issued the NPI (National Provider Identifier) 1336157759. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerry Lee Parker's facilities are situated?
The facilities of Jerry Lee Parker are physically located at the following address: 1263 Center Point Pkwy, Birmingham, AL, 352156347.
What is the Jerry Lee Parker's specialty and taxonomy code?
The Jerry Lee Parker's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336157759 to Jerry Lee Parker?
The Jerry Lee Parker received its 1336157759 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
As of what date were the details pertaining to Jerry Lee Parker last refreshed?
The information related to the Jerry Lee Parker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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