Individual
PARKER SHIFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
7390 S CREEK RD STE 101, SANDY, UT 84093-6121
(801) 255-2422
Mailing address
7390 S CREEK RD STE 101, SANDY, UT 84093-6121
(503) 756-5726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64079
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11640344-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2013
Last updated
04/13/2022
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