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Ty Parker, DMD
General Practice Dentistry in Fairview Heights, Illinois
NPI 1417156951

Ty Parker is a General Practice Dentistry based in Fairview Heights, IL and is specialized in General Practice. Ty Parker practices in Fairview Heights, IL and has the professional credentials of DMD. The NPI Number for Ty Parker is 1417156951 and holds a License No. 019027434 (Illinois).

The current practice location address for Ty Parker is 314 Fountains Pkwy Ste C, Fairview Heights, IL and can be reached out via phone at 618-622-1800 and via fax at 618-466-1433.

Location: 314 Fountains Pkwy Ste C, Fairview Heights, IL, 62208-2165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417156951
Provider Name
Ty Parker
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
314 Fountains Pkwy Ste C, Fairview Heights, IL, 62208-2165
Phone Number
618-622-1800
Fax Number
618-466-1433
Provider Enumeration Date
07/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
314 Fountains Pkwy Ste C
City
Fairview Heights
State
Illinois
Zip
62208-2165
Phone Number
618-622-1800
Fax Number
618-466-1433
person
Provider Business Mailing Address Details
Address
314 Fountains Pkwy Ste C
City
Fairview Heights
State
Illinois
Zip
62208-2165
Phone Number
618-622-1800
Fax Number
618-466-1433
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019027434 (Illinois)
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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