Organization
DR. JERRY L. PARKER D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE PARKER (DENTIST)
(205) 856-0148
Entity
Organization
Contact information
Practice address
1263 CENTER POINT PKWY, SUITE A, BIRMINGHAM, AL 35215-6347
(205) 856-0148
(205) 856-3018
Mailing address
1263 CENTER POINT PKWY, SUITE A, BIRMINGHAM, AL 35215-6347
(205) 856-0148
(205) 856-3018
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2781
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161499
UNITED CONCORDIA
AL
01
—
95203
BLUE CROSS
AL
Enumeration date
12/11/2006
Last updated
08/22/2020
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