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Dr. Anita Jo Parks, DDS
General Practice Dentistry in Bolivar, Tennessee
NPI 1134253305

Anita Jo Parks is a General Practice Dentistry based in Bolivar, TN and is specialized in General Practice. Anita Jo Parks practices in Bolivar, TN and has the professional credentials of DDS. The NPI Number for Anita Jo Parks is 1134253305 and holds a License No. 7263 (Tennessee).

The current practice location address for Anita Jo Parks is 390 Railroad St Ste D, Bolivar, TN and can be reached out via phone at 731-658-6112 and via fax at 731-658-6059.

Location: 390 Railroad St Ste D, Bolivar, TN, 38008-2661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134253305
Provider Name
Anita Jo Parks
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
390 Railroad St Ste D, Bolivar, TN, 38008-2661
Phone Number
731-658-6112
Fax Number
731-658-6059
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4108150 01 TN BCBST
1764104 01 TN UNITED CONCORDIA
203022415 01 TN TAX ID
institution
Provider Business Practice Location Address Details
Address
390 Railroad St Ste D
City
Bolivar
State
Tennessee
Zip
38008-2661
Phone Number
731-658-6112
Fax Number
731-658-6059
person
Provider Business Mailing Address Details
Address
390 Railroad St Ste D
City
Bolivar
State
Tennessee
Zip
38008-2661
Phone Number
731-658-6112
Fax Number
731-658-6059
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7263 (Tennessee)
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.
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