Individual
DR. TIMOTHY PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MBS
Contact information
Practice address
151 COLONY PARK RD, NEW SMYRNA BEACH, FL 32168-0001
(386) 675-0088
(844) 704-4268
Mailing address
311 CONDICT DR, NEW SMYRNA BEACH, FL 32169-2408
(973) 600-5563
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN29413
FL
Other
Enumeration date
02/15/2019
Last updated
08/07/2024
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