Individual
STEPHEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
89 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-4951
(843) 873-1261
Mailing address
89 OLD TROLLEY RD STE A, SUMMERVILLE, SC 29485-4951
(843) 873-1261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8447
SC
Other
Enumeration date
08/06/2014
Last updated
12/28/2015
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