Organization
PARKER PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAXON DOWNING (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
11183 S PARKER RD UNIT C, PARKER, CO 80134-4905
(303) 805-3655
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
(303) 805-3655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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