Individual
DR. MARK HENRY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PLLC
Contact information
Practice address
5790 US HWY 11, PURVIS, MS 39475
(601) 794-6013
(601) 794-6313
Mailing address
PO BOX 1949, 5790 US HWY 11, PURVIS, MS 39475
(601) 794-6013
(601) 794-6313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
283594
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066093
—
MS
Enumeration date
10/10/2006
Last updated
07/08/2007
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