# DR. JERRY L. PARKER D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184784290
- **Authorized official:** JERRY LEE PARKER (DENTIST)
- **Authorized official phone:** (205) 856-0148

## Contact information

- **Practice address:** 1263 CENTER POINT PKWY, SUITE A, BIRMINGHAM, AL 35215-6347
- **Practice address phone:** (205) 856-0148
- **Practice address fax:** (205) 856-3018
- **Mailing address:** 1263 CENTER POINT PKWY, SUITE A, BIRMINGHAM, AL 35215-6347
- **Mailing address phone:** (205) 856-0148
- **Mailing address fax:** (205) 856-3018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 2781 | AL | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 161499 | UNITED CONCORDIA | AL |
| 01 | — | 95203 | BLUE CROSS | AL |