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Willie Joe Parks JR., DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Tyler, Texas
NPI 1306918172

Willie Joe Parks JR. is a Oral and Maxillofacial Surgery (Dentist) based in Tyler, TX and is specialized in Oral and Maxillofacial Surgery. Willie Joe Parks JR. practices in Tyler, TX and has the professional credentials of DDS,MD. The NPI Number for Willie Joe Parks JR. is 1306918172 and holds a License No. 17107 (Texas).

The current practice location address for Willie Joe Parks JR. is 815 S Fleishel Ave, Tyler, TX and can be reached out via phone at 903-526-7977 and via fax at 903-526-7989.

Location: 815 S Fleishel Ave, Tyler, TX, 75701-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306918172
Provider Name
Willie Joe Parks JR.
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
815 S Fleishel Ave, Tyler, TX, 75701-2017
Phone Number
903-526-7977
Fax Number
903-526-7989
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1113110-02 05 TX
1113110-03 05 TX
0808586-01 05 TX
institution
Provider Business Practice Location Address Details
Address
815 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2017
Phone Number
903-526-7977
Fax Number
903-526-7989
person
Provider Business Mailing Address Details
Address
815 S Fleishel Ave
City
Tyler
State
Texas
Zip
75701-2017
Phone Number
903-526-7977
Fax Number
903-526-7989
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
17107 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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