Individual
DR. JERRY LEE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
2780
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95203
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/03/2006
Last updated
07/08/2007
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