Organization
TIMOTHY J PARKER DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J PARKER DMD (OWNER)
(904) 737-3263
Entity
Organization
Contact information
Practice address
8351 BAYBERRY RD, JACKSONVILLE, FL 32256-4427
(904) 737-3263
(904) 448-5301
Mailing address
8351 BAYBERRY RD, JACKSONVILLE, FL 32256-4427
(904) 737-3263
(904) 448-5301
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0010957
FL
Other
Enumeration date
05/04/2009
Last updated
01/15/2013
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